198007112-8-28-2019-54-CC-TFIS-BFGUGV-20190828153458

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198007112
Report Date: 08/28/2019
Date Signed: 08/28/2019 03:35:35 PM

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:	TERRY FAMILY CHILD CARE		FACILITY NUMBER:	198007112
ADMINISTRATOR:	TERRY, JUDY DARLENE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 431-7471
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	14	CENSUS: 0	DATE:	08/28/2019
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Judy Terry		TIME COMPLETED:	03:33 PM

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An informal office meeting was conducted on this date with Licensee Judy Terry. In attendance was Licensing Program Analyst, Timothy Fields and Licensing Program Manager Trevino Cochran.

The purpose of the informal meeting was to discuss the following items:

Child wandering away.

The following was discussed with Judy Terry:

On 5/9/19 a child in care was able to pass through a child proof gate leading to the kitchen and access a door leading to the front yard. Child was found in the front yard by their father. Licensee states she was standing in the doorway leading to the backyard at the time of the incident. Licensee can't be sure how long the child was outdoors, but maintained it was just a few moment. There were approximately 5 children present in the home at the time of the incident.

Licensee states to correct the issue of supervision, all children will remain in her line of vision. Additional locks were placed on the door out of the reach of the children. Licensee states she has four assistants that can step in as needed. Per licensee when there are six or more children in care, an assistant will be present.

Continued on LIC 809C

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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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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: TERRY FAMILY CHILD CARE	FACILITY NUMBER: 198007112
	VISIT DATE: 08/28/2019

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Licensee Judy Terry was advised of the following:

Licensee is responsible to know & understand the requirements of Title 22 Regulations.
Facility must be in compliance at all times.
Facility will be placed on increased monitored inspection for 18 months.
Advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms and regulations.
Licensee will visit child care website and view supervision training module Race to the Top.
Contact local resource and referral agency for possible classes on care and supervision.

Exit interview conducted with licensee Judy Terry who is in agreement with the above. A copy of this report was provided.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC809 (FAS) - (06/04)

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