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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416022
Report Date: 04/13/2023
Date Signed: 04/13/2023 10:18:38 AM


Document Has Been Signed on 04/13/2023 10:18 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:TOMLINSON FAMILY CHILD CAREFACILITY NUMBER:
197416022
ADMINISTRATOR:TOMLINSON, ALEXFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 984-0308
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY:14CENSUS: 7DATE:
04/13/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:ALEX TOMLINSON, LICENSEETIME COMPLETED:
11:00 AM
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04/13/2023, Licensing Program Analyst (LPA), Lisa Clayton conducted and unannounced Plan of Correction inspection and was met by Licensee Alex Tomlinson. LPA Clayton observed 7 children in care.

The purpose of the inspection is to verify the Plan of Corrections and Technical Violations are completed/corrected.

LPA Clayton observed and noted the following:

A working Carbon Monoxide/Smoke Detector combo.

A fully charged 3A10BC Fire Extinguisher

The bathroom to be clean and in regulatory compliance

The Kitchen counter and sink to be clean and free of debris and clutter


LPA Clayton also noted the refrigerator needs to be de-cluttered and deep cleaned. LPA Clayton instructed Licensee to refrain from serving food from the refrigerator, and to not store any food brought in for the children by the parents in the refrigerator until the deep cleaning is completed.

Licensee acknowledged understanding and stated that she was having someone come in and deep clean the entire home over the weekend, but that she would clean the refrigerator herself today, while the children are napping.

Exit interview conduted, and a copy of this report and notice of site visit provided to the licensee.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2023
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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