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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400036
Report Date: 07/10/2019
Date Signed: 07/10/2019 02:31:23 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: DATE:
07/10/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Erica CaldwellTIME COMPLETED:
02:25 PM
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
An Office Meeting was held on this date in the Monterey Park Regional Office (MPRO). Present during the meeting were Trevino Cochran, Licensing Program Manager, Ana Chico, Licensing Program Analyst and Denise Gibbs Licensing Program Analyst. The purpose of this meeting is to discuss the following:
  • California Title 22 Regulations 102416.5 Cited 1/09/19- Staffing Ratio and Capacity
  • Health and Safety 1596.80 Cited on 7/2/19 - Unlicensed Care.
  • Care and Supervision (not cited due to unlicensed facilty ). Two day care children were taken to a neighbor's home after neighbor observed children to be left unsupervised. Adult was in the home but not observed by the neighbor.

Licensee has been advised of the seriousness of the lack of care and supervision that occurred. Licensee understands that children must be supervised at all times. A review of allowable capacity for a large family child care home was made with Ms. Caldwell. Licensee was also advised that increased inspections will take place for the next two years.
The Licensee has agreed to the following:
  1. The licensee shall provide a plan on transferring authority when absent from the home ______________
  2. The licensee will provide a transportation plan, including who will provide the transportation, who will provide car seats, schedules and signed transportation agreement from parent(s) _________________
  3. The licensee has agreed to attend a care and supervision course or class within 30 days. Proof of attendance shall be submitted. Documentation will be provided to the department prior to attending the selected course/class ___________
  4. Licensee's selected assistant will attend a Family Child Care Home live orientation provided by the department.
  5. The licensee's facility must be in compliance at all times _____________
  6. The licensee was advised that it is her responsibility to review & understand Title 22 Regulations __________
  7. The licensee was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms and regulations _____________


REPORT CONTINUES ON THE NEXT PAGE 1 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CALDWELL FAMILY CHILD CARE
FACILITY NUMBER: 198400036
VISIT DATE: 07/10/2019
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
Ms. Caldwell has been advised that the incident is under review by the department and that further administrative action could be taken. Ms. Caldwell has also been advised that the application for a change of location will remain pending until final department approval.

Exit interview conducted with Erica Caldwell, who is in agreement with this report which documents this meeting.

PAGE 2 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2