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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013322
Report Date: 04/27/2023
Date Signed: 04/27/2023 03:48:31 PM

Document Has Been Signed on 04/27/2023 03:48 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:ST.CLAIR FAMILY CHILD CAREFACILITY NUMBER:
198013322
ADMINISTRATOR:ST.CLAIR, RASHUNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 408-6611
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 12TOTAL ENROLLED CHILDREN: 20CENSUS: 11DATE:
04/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Licensee - Rashun St. ClairTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced case management visit on 04/27/23. LPA arrived at the facility at 2:20 PM and was met by licensee, Rashun St. Clair. LPA observed 2 adults and 11 children in care. The purpose of this visit is to follow up on the unusual incident report dated 03/27/23. LPA observed the home to clean and in good repair.

During the inspection, LPA interviewed licensee regarding unusual incident. LPA also reviewed child's file and obtained a copy of the facility roster.

LPA observed licensee to be in compliance with California Code of Regulation, Title 22. No deficiencies will be cited today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Rashun St. Clair.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
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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