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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417712
Report Date: 01/31/2020
Date Signed: 01/31/2020 04:52:55 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:ALGUTRIA FAMILY CHILD CAREFACILITY NUMBER:
197417712
ADMINISTRATOR:ELIZABETH ALGUTRIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 674-2076
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:14CENSUS: 7DATE:
01/31/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:licenseeTIME COMPLETED:
05:01 PM
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On 1/31/2020 Licensing Program Analyst (LPA) made an unannounced visit to the Algutria Family Child Care home for the purpose of following up on an unusual incident reported to the department on 12/10/19. The incident was reported as a physical plant incident. The exhaust fan in the homes rest room had a small electrical fire.

The families were notified by the licensee and the day cares resource program; Early Head Start/Venice Family Clinic.

LPA Chandler received photos of the rest rooms before and after conditions, a fire clearance and completed repair contracts.

The rest room was observed; a new exhaust panel/system, floors, cabinetry and toilet were replaced. LPA did not observe any hazardous conditions.

Based on todays inspection the homes meets health and safety requirements, facility was given clearance to resume operations as of 1/27/2020 based on provided documentation.

No citations were issued children were properly relocated to the back yard during the incident.

No further action is needed.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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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