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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493570
Report Date: 08/21/2019
Date Signed: 08/26/2019 03:35:11 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:MORRIS FAMILY CHILD CAREFACILITY NUMBER:
197493570
ADMINISTRATOR:AFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 949-0648
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 10DATE:
08/21/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:11 PM
MET WITH:Shaprae MorrisTIME COMPLETED:
04:25 PM
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LPA Christopher Garlington made a Case Management Visit and met with Shaprae Morris licensee. LPA immediately explained the purpose of the visit.

The Case Closure Letter issued by the Caregiver Background Check Bureau on 07/22/2019 for Decovin Yoakum requiring the removal of the individual was provided to the facility. According to Shaprae Morris licensee the removal of the individual has been accomplished and there is no plan for her to be employed or reside in the facility.

LPA Garlington provided a copy of the CBCB Case Closure Letter and the Addendum to the Notification of Parent's Rights, a copy of this report and the Notice of Site Visit to the facility.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
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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