<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010536
Report Date: 04/05/2024
Date Signed: 04/05/2024 11:18:38 AM


Document Has Been Signed on 04/05/2024 11:18 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:TILLMAN FAMILY CHILD CAREFACILITY NUMBER:
198010536
ADMINISTRATOR:TILLMAN, TRACEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 209-8686
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY:14CENSUS: 0DATE:
04/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee Tracey TillmanTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On April 5, 2024 at 9:30 am, Licensing Program Analyst (LPA) Angelica Wallin conducted an unannounced case management inspection and met with licensee, Tracey Tillman, who provided assistance. LPA toured the facility and a census was taken. Per licensee, hours of operation are 24 hours for 7 days a week as needed. LPA observed today's census was 0 children.

The purpose of today's inspection was regarding incident report received on 2/28/2024 and observe facility plant remodel. LPA observed construction being conducted on the following areas: living room as the day care play area and nap area, dining area, kitchen, bathroom, and laundry room. LPA observed all walls stripped of paint, all light fixtures hanging from ceiling uninstalled, construction tools such as hammer, saw, nails, power drills in main living room, several wood panels along the walls, a package of mixing compound on the floor of the living room, a pack of fiberglass batts in the living room, exposed electrical outlets, wooden flooring in progress, and several extension cords in the middle of the walkway. Per licensee, all wiring, water pipes and gas outlets are being addressed and updated.

Per licensee, day care operations are typically conducted in the front of the home. Per licensee, during construction, workers discovered extensive water damage in the walls of the home. Per licensee, water damage affected the wall studs and foundation which needed to be addressed. Per licensee, construction was only to be for four weeks; but due to water damage found, has been extended. Per licensee, whole front of the home is undergoing remodel work. Per licensee, all daycare equipment and supplies are being stored in garage behind home. LPA observed all childcare equipment and supplies located in garage during inspection.

Per licensee, no children are on the premises of the home. LPA discussed with licensee regarding current childcare operations. Per licensee, only transportation services are being conducted. Per licensee transportation services are being conducted between 6 pm - 8 pm. Per licensee, children in care are picked up and transported home or to a local library for homework and recreational use. Per licensee, construction to be completed by Saturday, April 20,2024. Pictures taken to be placed in the file.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TILLMAN FAMILY CHILD CARE
FACILITY NUMBER: 198010536
VISIT DATE: 04/05/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA observed the following items to be addressed:
  • Construction in the living room as the day care play area and nap area, dining area, kitchen, bathroom, and laundry room to be completed
  • Light fixtures in ceiling to be installed, electrical outlets to be covered, flooring to be addressed, and all walls to be painted
  • All construction tools used such as: wood panels, hammer, saw, nails, power drills, package of mixing compound, pack of fiber glass batts, extension cords etc. to be removed once construction is completed

An additional in-person visit to be conducted once construction is fully completed. During visit, LPA collected updated facility sketch of inside facility as evidence of areas on and off-limits.

Exit interview conducted and report was reviewed with licensee, Tracey Tillman. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2