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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418662
Report Date: 12/07/2020
Date Signed: 12/07/2020 12:58:51 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:FEATHERSTONE FAMILY CHILD CAREFACILITY NUMBER:
197418662
ADMINISTRATOR:DEANNA L. FEATHERSTONEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 877-1711
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:14CENSUS: 8DATE:
12/07/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Deanna FeatherstoneTIME COMPLETED:
01:15 PM
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On 12/07/2020 at 12:30pm Licensing Program Analysts (LPAs) Lourdes Castellanos and Ericka Hill arrived at the facility to clear a Plan of Correction given to the Licensee on 11/24/2020. This visit is a follow-up visit related to a complaint received on 09/30/2020, complaint number 30-CC-20200930121412. LPAs observed 8 children being supervised by 3 adults.

LPAs observed the front gate under construction and being fixed according to the Plan of Correction. Licensee stated she intends to install 2 more gates on the premises. Licensee stated one will be located on the front porch and the other in the front yard.

LPA was informed that if any construction occurs in the home she needs to notify Community Care Licensing.
An exit interview was conducted with the Licensee and a copy of the LIC809, Notice of Site Visit, and POC clearance letter was emailed to the Licensee.

LPA's followed COVID-19 protocols and guidelines by wearing masks, maintaining 6 foot distance, and disinfecting surfaces.
SUPERVISOR'S NAME: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Lourdes CastellanosTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020
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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