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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494773
Report Date: 06/14/2023
Date Signed: 06/14/2023 10:01:46 AM

Document Has Been Signed on 06/14/2023 10:01 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GRAVES FAMILY CHILD CAREFACILITY NUMBER:
197494773
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
06/14/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:BRANDI GRAVES,LICENSEETIME COMPLETED:
10:30 AM
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On 06/14/23, Licensing Program Analyst (LPA) Lisa Clayton conducted an announced visit at the FCCH, to complete the licensee- initiated inspection for a Capacity Increase on 06/07/2023. LPA Clayton observed 3 infants being supervised and cared for appropriately.

Required prior to issuing a license:
*Inspection of the 2nd floor of the home

LPA Clayton inspected the 2nd floor of the home and observed a loft style bedroom and bathroom with a shower. The entire 2nd floor of the home is off limits to children in care, and is made inaccessible by a locked door and/or a child safety gate at the bottom of the stairs.

LPA Clayton reviewed licensee's and her assistants CPR First Aid completed in May 2023, and Mandated Reporter Certificate completed in May 2023.

License is reminded that if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home.

This home is approved for Capacity Increase on 06/14/2023.

An exit interview was conducted, and a copy of this report was provided to licensee Brandi Graves . A Notice of Site visit was given and is to remain posted for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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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