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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400392
Report Date: 09/29/2023
Date Signed: 10/02/2023 05:19:17 PM

Document Has Been Signed on 10/02/2023 05:19 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NICHOLS & LAWRENCE FAMILY CHILD CAREFACILITY NUMBER:
198400392
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Tykisha Lawrence, LicenseeTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Alicia Mooberry conducted an unannounced Case Management inspection on this. LPA met with Tykisha Lawrence, Licensee, who is requesting to increase capacity to a Large Family Child Care Home of 12-14 children. A fire clearance was granted on 09/08/23. LPA observed that the licensee has installed a pull bar alarm on wall in the garage/playroom. Exit signs at the front door and exiting the playroom. In addition the facility has house alarm that sound alert when doors open.

There were zero (0) children present during inspection. Also present was Dalton Nichols. All adult present have received the required background clearance for a family daycare home.

LPA discussed capacity requirements for a Large Family Child care home. When there isn't a qualified assistant the provider must follow the Small Family Child Care Home regulations (Maximum 8 children).

LPA discussed reporting requirements and reminded licensee to report and changes to the day to day operation within 24 hours.

Per licensee T. Lawrence the children will sleep or eat in the bedroom by the garage/playroom and never in the garage.

Based on the LPA's observations no deficiencies are cited on this date.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensees.

--------Page 1 report continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2023
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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