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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419908
Report Date: 07/21/2022
Date Signed: 07/26/2022 01:20:19 PM


Document Has Been Signed on 07/26/2022 01:20 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:HALL FAMILY CHILD CAREFACILITY NUMBER:
197419908
ADMINISTRATOR:HALL, CUPIDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 819-2445
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:14CENSUS: 4DATE:
07/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Cupid Hall, LicenseeTIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPA) Denise Gibbs conducted an unannounced Annual Required Inspection with Cupid Hall, Licensee on 7/21/22 at 1:00PM.

There were four children and three adults present when LPA arrived. All individuals have completed a criminal background clearance.

LPA inspected the main care area, living room, dining room, and kitchen. There were age appropriate toys and material for children. LPA did not observe any hazards in the main care areas. Detergents and cleaning compounds are stored under the sink in a locked cabinet and in the off limits laundry room. Fire place in the living room is barricaded. All off limit rooms were inaccessible. LPA advised licensee get child safety knobs for the off limit rooms to make entrance and exits more functional for family members.

Bathroom was observed to be free of hazards with child locks on cabinets. LPA inspected the outdoor yard. Facility has one dog who is kept in an off limits area outside on the side patio. There are toys, material and equipment for children. The patio and backyard are now off limits with locked gates on all entrances. An iron gate has been added to the left side of the property where cars and a camper are stored inaccessible to children.

Fire extinguisher was last serviced on 2/2022 as noted on the service tag. There are no firearm or weapons in the home. LPA did not observe any bodies of water at the facility. Wall heater was observed in the hallway near the bathroom with a screen next to the heater. Licensee was reminded to keep the screen on the heater at all times. Licensee screened the heater during inspection.

LPA observed required posted documentation on parent board at the facility entrance. LPA children and staff files. LPA reviewed staff files. Documents were discussed. LPA reviewed children files, ----------PAGE 1
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HALL FAMILY CHILD CARE
FACILITY NUMBER: 197419908
VISIT DATE: 07/21/2022
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documents were discussed. Facility has operable carbon monoxide and smoke detectors.

No deficiencies will be cites to day 7/21/22.

Notice of Site Visit will be given and must remain posted for 30 days.

Exit interview was conducted with Cupid Hall, Licensee.

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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC809 (FAS) - (06/04)
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