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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400181
Report Date: 10/01/2021
Date Signed: 10/01/2021 10:33:42 AM

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:PATRICK FAMILY CHILD CAREFACILITY NUMBER:
198400181
ADMINISTRATOR:JENNIPHER PATRICKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 354-8735
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 9DATE:
10/01/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Jennipher Patrick- LicenseeTIME COMPLETED:
10:45 AM
NARRATIVE
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This is an unannounced Case Management Inspection visit conducted on 10/29/2021 at 9:40 AM by Alicia Bailey Licensing Program Analyst (LPA). LPA met with Licensee Jennipher Patrick regarding the usual incident report received in the office on 08/18/2021. 3 staff and 9 children within ratio.

The report stated that on 08/11/2021 child # 1 parent contact the licensee Patrick that she tested positive for COVID-19. Licensee Patrick contact all the parents to inform of the positive case and for all day care children to test. On 08/13/2021 test result came back, five daycare children tested positive for covid-19.

LPA Bailey conducted an interview with Licensee Patrick who indicated that all children that tested positive for covid-19 was asymptomic. Licensee Patrick contacted the Los Angeles County Public Health Department, was close for four days, clean and sanitize the facility. The notice was posted at the facility and sent out to the parents. Licensee Patrick request to return everyone had to show a negative covid-19 test.

Based on today’s inspection, and interviews conducted, the facility followed the appropriate Reporting Requirements, Notified Parents, and Los Angeles County Public Health Department, no follow-up is necessary regarding the incident. Licensee Patrick followed the required protocol for reporting requirements" as the incident was reported to Child Care Licensing. It does not appear this incident was the result of a Title 22 violation and the facility followed the appropriate regulations to care for the children in care. No deficiencies were cited on this date
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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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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: PATRICK FAMILY CHILD CARE
FACILITY NUMBER: 198400181
VISIT DATE: 10/01/2021
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The content of this report was read and discussed in detail at the time of with Licensee Patrick.

Upon receipt, Notice of Site Visit shall be posted. Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted, and a copy of this report was provided to Licensee Patrick
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC809 (FAS) - (06/04)
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