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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408252
Report Date: 07/30/2024
Date Signed: 07/30/2024 04:14:52 PM

Document Has Been Signed on 07/30/2024 04:14 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LEWIS FAMILY CHILD CAREFACILITY NUMBER:
197408252
ADMINISTRATOR/
DIRECTOR:		CARRIE L. LEWISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 777-2302
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
07/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Carrie LewisTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 7/30/24 Licensing Program Analyst (LPA) Ranita Richmond arrived at the above named home for an unannounced Case Management visit. LPA was greeted by licensee Carrie Lewis. LPA observed three children being cared for and supervised by licensee.
LPA Richmond toured the home inside and outside for a Health and Safety inspection. The home is neat and clean with heating and ventilation for safety and comfort.

There are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible to children in care.

There are no pools, ponds or other bodies of water on the premises.

LPA Richmond observed age-appropriate toys, books and furnishings. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts.

LPA requested current Mandated Reporter Training certificate due to citation issued on 03/07/24.

Licensee has requested additional time to complete Mandated Reporter training due to extenuating life circumstances. New POC completion date is 08/05/24.


No deficiencies were cited today, per Title 22 Regulations and Health and Safety Codes.

An exit interview was conducted with licensee Carrie Lewis

Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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