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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419356
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:28:24 PM

Document Has Been Signed on 05/15/2024 03:28 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LAVELLE FAMILY CHILD CAREFACILITY NUMBER:
197419356
ADMINISTRATOR/
DIRECTOR:		TRACI LAVELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 875-8282
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/15/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Traci Lavelle, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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An informal office meeting was scheduled via Microsoft Teams in the El Segundo Child Care Regional Office on May 15, 2024.

The meeting attendees are as follows:
Maureen Neal, Licensing Program Manager
Adrian Risher, Licensing Program Analyst
Traci Lavelle, Licensee

The purpose of this meeting is to discuss care and supervision concerns and overall operating concerns.

Ratio - LPM Neal addressed the allegation of Ratio which was substantiated 2/7/2024. Licensee was operating over capacity in December 2023.

Technical Support Program (TSP)- The Department is offering additional support to the licensee to promote and maintain compliance by fostering an ongoing partnership with the licensee through recommended resources, referrals and increased monitoring as follows: Licensee has agreed to participate in the TSP Program

Administrative Action- An action the department seeks to revoke the license when non-compliance is not adhered to.
LPM Neal explained the administrative action process. Licensee understands and has agreed to say in compliance per Title 22 regulations.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LAVELLE FAMILY CHILD CARE
FACILITY NUMBER: 197419356
VISIT DATE: 05/15/2024
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The department compliance plan as follows:

· Licensee provided a written plan regarding how she would remain within her capacity limitations on March 5, 2024. During the conference licensee disclosed that she has a morning & evening shift & offers a transportation pick-up service from local elementary schools. Licensee will provide the department with a copy of the transportation consent form.

· Licensee attended Family Child Care Orientation on March 19, 2024, at the Monterey Park Child Care Regional Office.

· Licensee will be placed on increased monitoring for the next 18 months starting June 1, 2024.

· Licensee will be referred to the Department’s Technical Support Program (TSP). This program will provide additional resources/training regarding ratio.

· Licensee was advised to contact the local Resource & Referral agency Child Care Resource Center (CCRC) https://www.crystalstairs.org/

· The licensee was advised to subscribe to Child Care Advocate Program at (916) 654-1541; childcareadvocatesprogram@dss.ca.gov to seek consultation regarding operation of family childcare home.

· Licensee agrees to subscribe to Provider Information Notices (PINs) at http://www.cdss.ca.gov/inforesources/Community-Care-Licensing/Policy/Provider-Information-Notices/Child-Care

· Child Care Law Center: https://www.childcarelaw.org/who-we-serve/providers/
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LAVELLE FAMILY CHILD CARE
FACILITY NUMBER: 197419356
VISIT DATE: 05/15/2024
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The facility at the direction of Licensee Traci Lavelle is required to continue to operate the facility in full compliance with Title 22 Regulations and Health and Safety Code requirements in general and specifically pertaining to: Ratio and the overall operation of a family childcare home. Licensee was informed that the department is available to answer questions and licensee should be utilizing the department as a resource in order to maintain compliance.

Licensee must comply with AB 633 as follows: Upon receipt by the licensee, licensee is to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation - this includes facility visits and substantiated complaint investigations; copies of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care in which issues of noncompliance are discussed and/or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license.

Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of children currently enrolled and any newly enrolled child at the facility for the next 12 months. The licensee shall provide the LIC 9224 Acknowledgement of Receipt of Licensing Reports to the parents as a notification that a meeting was held.

A copy of the LIC 809 report was provided to the licensee for signature via email. Signature copy will be kept on file.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
LIC809 (FAS) - (06/04)
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