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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018380
Report Date: 11/08/2019
Date Signed: 11/08/2019 01:22:52 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:CAMELLO FAMILY CHILD CAREFACILITY NUMBER:
198018380
ADMINISTRATOR:CAMELLO, SHALONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 427-1749
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:14CENSUS: 10DATE:
11/08/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee, Shalon CamelloTIME COMPLETED:
01:30 PM
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LPA Chambers conducted a case management visit to inspect a new hot tub for safety. LPA was met with licensee, Shalon Camello and Diane (assistant) who guided analyst on a tour of the facility. There were 10 children in care today including in the total were 3 infants.

LPA observed a hard plastic lid that is 5" inches thick. The lid opens up from the center and lid folds out. There are two locks on both sides of the hot tub with a locking mechanism that uses a key. The licensee did not fill with water until the Department approves the hot tub. The licensee will provide 100% visual supervision at all times when the children are playing in the yard.

LPA Chambers observed the area for security for the health and safety of children in care. The hot tub and secured area meet the standards of Title 22, Operation of a Family Home 102417(g)(5), bodies of water.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Shalon Camello, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.


SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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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