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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414161
Report Date: 09/27/2019
Date Signed: 09/30/2019 02:25:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:HATCHER FAMILY CHILD CAREFACILITY NUMBER:
197414161
ADMINISTRATOR:HATCHER, SHEILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 329-2420
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:14CENSUS: 4DATE:
09/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:15 PM
MET WITH:S. HatcherTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA), V. Wheatley met with licensee Sheila Hatcher at 4:00PM regarding a fingerprint case closure. According to a letter dated June 21, 2019 from the Caregiver Background Check Bureau, licensee's uncle Adult #1 is not allowed on the premises during day care hours. Licensee states she did not receive a copy of the letter.

LPA provided copies of LIC 995B (Addendum to Notification of Parents Rights) Regarding Removal / Exclusion) for the licensee to provide to the parents and have signed.

Exit interview.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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