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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020253
Report Date: 05/04/2022
Date Signed: 05/04/2022 03:42:52 PM


Document Has Been Signed on 05/04/2022 03:42 PM - It Cannot Be Edited

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:OCEAN FAMILY CHILD CAREFACILITY NUMBER:
198020253
ADMINISTRATOR:BRISA OCEANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 673-4939
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:14CENSUS: 9DATE:
05/04/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Brisa OceanTIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced case management inspection to follow up on two incidents that were reported to the Department on 02/25/2022 and 04/11/2022. Upon arrival, LPA met with Licensee, Brisa Ocean who provided LPA a tour of the facility. Census was taken.

On 02/25/2022, an incident was reported to the department where a child stepped on another child's hand during music and movement time. The facility reported this incident to the Department within the required 24 hours. During this inspection LPA interviewed staff who observed the incident. LPA observed the outdoor area where the incident took place. LPA obtained and reviewed documentation. Based on the information obtained and LPA observation of the play area, LPA determined there was adequate supervision provided the day of the incident.

On 04/11/2022 an incident was reported to the department where child #1 had an allergic reaction during nap time and had to be administered with medication at the facility. The facility has a written IMS plan for child #1. Copy of these procedures for providing IMS services was provided by the facility.

Based on the information collected during this inspection there were no deficiencies cited for the two incidents.

Exit interview conducted with the Licensee, Brisa Ocean.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2022
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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