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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494797
Report Date: 10/17/2023
Date Signed: 11/07/2023 09:58:28 AM

Document Has Been Signed on 11/07/2023 09:58 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: 14CENSUS: DATE:
10/17/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Asah-Yanah GoreTIME COMPLETED:
01:00 PM
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On 10/17/2023 an Informal Office meeting was held with licensee Asah-Yanah and applicant Nieka Caruthers-Dodson, #197495276, who live on the same lot, both homes have separate addresses. Applicant and licensee confirmed they are related.

Forum: Microsoft Teams
Date: 10/17/2023
Participants:
Claudia Escobedo, Licensing Program Manager (LPM)
Judy Laureano, Licensing Program Analyst (LPA)
Asah-Yanah Gore – Licensee – 197494797
Nieka Caruthers-Dods On – Applicant – 197495276

The purpose of this Informal Meeting is to discuss with Licensee Asah-Yanah Gore and Applicant Nieka Caruthers-Dods concerns with the licensure of two-Family Child-Care Homes on one property.
Areas of Concern:
• Plan of Operation
• Transparency

Plan of Operation:
Children of different programs can never commingle, including during field trips, sign-in/sign-out, etc. Commingling of children can contribute to a citation for operating over-capacity. Due to the use of shared outdoor play space, a formal outdoor play schedule needs to be submitted to this Regional Office and posted for parents and
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2023
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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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: GORE FAMILY CHILD CARE
FACILITY NUMBER: 197494797
VISIT DATE: 10/17/2023
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Licensing Staff to view. No other areas in the home are shared spaces. Children’s records should clearly indicate the program children are attending. Parents should have a clear understanding of which program their child is attending. Should staff be employed by the programs, staff records should also clearly indicate which program they are employed in.
Transparency:
We anticipate transparency from both programs to ensure that the Regional Office is updated of any changes that may impact each other’s programs.

Applicant and Licensee agree to do the following to ensure both programs will operate independently of each other:
• Business Plan – Include how parents will be made aware of 2 programs located on the same property and which program their child will attend. Transfer of custody of all children should only occur at the program the child is enrolled in.
• Outdoor Play Schedule
• Sample of Children’s Files

Copy of report will be provided.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC809 (FAS) - (06/04)
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