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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493408
Report Date: 05/05/2021
Date Signed: 05/07/2021 04:26:21 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:GREENWOOD FAMILY CHILD CAREFACILITY NUMBER:
197493408
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
05/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:11 PM
MET WITH:Jenea Greenwood, LicenseeTIME COMPLETED:
03:50 PM
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Licensing Program Analyst (LPA), Shandra Powell conducted a Case Management- Other visit during a Complaint investigation on 05/05/2021. The inspection was conducted via Face Time due to COVID-19 and precautionary measures.

The purpose of the visit was to interview children and staff via Face Time. During the investigation via Face Time LPA observed the stairs leading to the second floor of the home did not have any barricade and or fence. The requirement is not met as evidenced by LPA observed Licensee retrieve a Child Safety Gate out of the closet and place in front of the bottom of the stairs during investigation. This poses a potential risk to the health and safety of children in care.

LPA advised Licensee to never take away the child safety gate during child care hours and the stairs must be barricaded at all times during child care hours. LPA is providing a technical violation advisory note.

LPA advised how to access forms and regulations on line at www.ccld.ca.gov for updates on current regulatory changes.

An exit interview was conducted by LPA Shandra Powell with Jenea Greenwood, Licensee. Due to COVID-19 and precautionary measures this report was sent via email to Licensee and an electronic read receipt confirms receiving the report. The Licensee was provided with the El Segundo Regional Office address and agrees to send the signed originals by mail. Advisory Notes - Technical Violation (LIC 9102TV), along with appeal rights were emailed to licensee.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2021
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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