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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414161
Report Date: 09/22/2023
Date Signed: 09/25/2023 06:29:03 PM


Document Has Been Signed on 09/25/2023 06:29 PM - It Cannot Be Edited

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: 5DATE:
09/22/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Genice Hatcher & Sheila HatcherTIME COMPLETED:
11:30 AM
NARRATIVE
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On 9/22/23 Licensing Program Analyst (LPA), V. Wheatley conducted an inspection and was greet by an employee Donovan Boochie. LPA informed Mr. Boochie she was with Community Care Licensing. LPA asked if the licensee was present and he said no. LPA asked for the licensee's daughter Genice Hatcher and he went to look for her. LPA observed another employee Chaundra Matthews in the converted garage with children. LPA greeted Ms. Matthews and asked how many children were present. She said five children. LPA observed three children and asked where the other two children were and she said in the bathroom. LPA then observed two small children in the bathroom being supervised by Mr. Boochie. LPA asked if he had fingerprints and he said he thought so. Licensee's daughter Genice Hatcher entered the premises from the backyard which she was cleaning. She stated that her mother is at the bank. Licensee Sheila Hatcher did arrive at the home at 11am and was informed of the matters discussed.

LPA asked Genice Hatcher for Donova's file. She was unable to locate his file and fingerprints. LPA called the Community Care Licensing Division regarding Mr. Boochie fingerprints. LPA was informed by support staff that there are no fingerprints on file. Therefore the facility is receiving a Type A violation. See LIC 809 for deficiency details.

Exit interview conducted. Report provided.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2023
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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Document Has Been Signed on 09/25/2023 06:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CARE
FACILITY NUMBER: 197414161

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2023
Section Cited
CCR
102370(d)

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102370(d) -Criminal Record Clearance
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility
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The licensee will ensure that all adult working and living in the home are fingerprint cleared prior to being on the premises. The licensee will not allow Mr. Boochie to be on the premises until he if fingerprint cleared. Licensee will submit a plan of correction to the Department by 9/25/23.
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This is evidence by:
LPA Wheatley observed Staff (adult) #1 on the premises without a fingeprint clearance. The staff member states that he has been working longer than one week. This is an immediate risk to the health and safety of kids in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2023
LIC809 (FAS) - (06/04)
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