<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494797
Report Date: 04/06/2021
Date Signed: 04/06/2021 10:36:00 AM

Document Has Been Signed on 04/06/2021 10:36 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GORE FAMILY CHILD CAREFACILITY NUMBER:
197494797
ADMINISTRATOR:GORE, ASAH-YANAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 245-3517
CITY:INGLEWOODSTATE: CAZIP CODE:
90304
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/06/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:ASAH-YANAH GORETIME COMPLETED:
10:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/06/2021 at 10:00 AM Licensing Program Analyst, Stella Gutierrez made an announced follow up Pre-License tele Inspection via FaceTime with Applicant, Asah-Yanah Gore for the purpose of Proof of Corrections to follow Pre-License inspection that was conducted on 04/01/2021. Applicant applied for a change in location from previous address 3220 Doty Avenue, Unit 121, Hawthorne CA 90250 License #197494228. During the Pre-License inspection conducted on 04/01/2021 LPA, Gutierrez observed the applicant had not made a permanent move. During today’s inspection LPA, Gutierrez observed the applicant has made the permanent move and residing at the new change of location. LPA received Landlord Consent from Applicant prior to today’s inspection.

Applicant was reminded comply with all regulations and laws governing family child care homes. LPA, Gutierrez provided the following resource as an update while operating a Family Child Care Home in response to COVID-19:


http://publichealth.lacounty.gov/media/coronavirus/docs/education/GuidanceEarlyChildhoodEducation.pdf

An exit interview was conducted, and a copy of this report was provided to the Applicant, Asah-Yanah Gore . Final decision of License issuance will be determined by the department unit Licensing Program Manager.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2021
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 1