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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018087
Report Date: 09/24/2019
Date Signed: 09/24/2019 01:56:22 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:GRIFFIN FAMILY CHILD CAREFACILITY NUMBER:
198018087
ADMINISTRATOR:GRIFFIN, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 713-5979
CITY:LONG BEACHSTATE: CAZIP CODE:
90804
CAPACITY:14CENSUS: 12DATE:
09/24/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Alicia GriffinTIME COMPLETED:
02:09 PM
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A Plan of Correction inspection was conducted by Licensing Program Analyst, Timothy Fields. LPA met with licensee Alicia Griffin. Upon arrival LPA observed licensee's assistant along with 12 napping children in the living room. The purpose of todays visit is to ensure licensee is in compliance with California Code of Title 22 regulations 102416.5(a) and 102416.5(e) previously cited on 9/6/19. LPA observed licensee in compliance during todays visit.

Exit interview conducted with licensee. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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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