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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415798
Report Date: 12/21/2022
Date Signed: 12/21/2022 11:01:47 AM


Document Has Been Signed on 12/21/2022 11:01 AM - 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:LOVELESS FAMILY CHILD CAREFACILITY NUMBER:
197415798
ADMINISTRATOR:LOVELESS, SASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 567-3763
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 7DATE:
12/21/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Sasha Loveless, LicenseeTIME COMPLETED:
11:15 AM
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On 12/21/2022, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on an Unusual Incident, reported to the department by telephone on 12/7/2022. LPA met with Licensee, Sasha Loveless and toured the facility and took a census of the children. Upon arrival, there were 7 children present today at the facility.

Description of the incident: On 12/7/2022, Licensee reported C1 stated C2 try to pull down her pants and look at her private area. Licensee immediately spoke with both parents regarding the incident. Licensee contacted CPS and CCLD to report incident. Licensee suspended C2 from the program until further notice.

During this inspection, LPA interviewed staff, children, obtained a copy of the facility roster and documented observation.

Based on the information provided and interviews conducted the incident will require further investigation.

An exit interview was conducted, a copy of this report and notice of site was provided to Licensee, Sasha Loveless.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2022
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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