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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413867
Report Date: 03/02/2023
Date Signed: 03/02/2023 03:31:19 PM

Document Has Been Signed on 03/02/2023 03:31 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LAY FAMILY CHILD CAREFACILITY NUMBER:
197413867
ADMINISTRATOR:LAY, SELINA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 328-5465
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Ty Creecy, Assistant TIME COMPLETED:
04:00 PM
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On 03/02/2023 Licensing Program Analyst (LPA) Katrina Chicote conducted an unannounced case management inspection to follow up on an incident that was cross-reported to the Department on 02/15/2023. Upon arrival, LPA announced purpose of visit and met with Ty Creecy, Licensee's Assistant. Per Licensee's Assistant, Licensee is currently not available. Census was taken.

On 02/15/2023, an incident was cross-reported to The Department in regards to an incident that involved a foster child. LPA interviewed Licensee's Assistant in regards to incident. Interview with Assistant disclosed that he is aware of incident involving foster child but was not present for the incident. Assistant states that he knows incident occurred during a time there were no day care children present as first child arrives at 8:30 AM. Based on the information obtained and LPA observation LPA observed that day care children were not witness to the incident occurring with foster children.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.

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.

Exit interview conducted and report reviewed with Facility Representative, Ty Creecy.

Report Ends - Page 1 of 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023
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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