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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400036
Report Date: 07/03/2019
Date Signed: 07/03/2019 02:06:51 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:CALDWELL FAMILY CHILD CAREFACILITY NUMBER:
198400036
ADMINISTRATOR:ERICA L. CALDWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 614-6026
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:14CENSUS: 3DATE:
07/03/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Erica CaldwellTIME COMPLETED:
02:15 PM
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Ana Chico, Licensing Program Analyst (LPA), conducted an unannounced Plan of Corrections Inspection.. LPA met with Erica Caldwell who guided LPA on a tour of the home.

LPA explained to Ms. Caldwell that the purpose for this inspection is to .ensure that Ms.Caldwell has ceased operation of unlicensed care cited on 7/2/19. On this date, LPA observed Ms. Coldwell's biological infant son and two siblings identified as child #1 and child #2.. According to Ms. Caldwell, parents of other children were informed or will be informed that care cannot be provided until licensed at this location (some children enrolled attended on an as needed basis).
Ms. Caldwell has been advised that although the department has received an application for a change of location, this facility has not been granted a license to operate. Ms. Caldwell cannot operate until a license has been granted.

LPA informed Ms. Caldwell that an informal conference has been scheduled for Wednesday, July 10, 2019 at 1:30 p.m. at the Monterey Park Regional Office. A letter was provided to Ms. Caldwell on this date.

Exit interview conducted with Ms. Caldwell. Appeal rights provided and explained. No deficiencies cited.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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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