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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400462
Report Date: 01/28/2022
Date Signed: 01/28/2022 02:59:23 PM

Document Has Been Signed on 01/28/2022 02:59 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:IBIZUGBE FAMILY CHILD CAREFACILITY NUMBER:
198400462
ADMINISTRATOR:IBIZUGBE, CATINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 625-0418
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/28/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
02:23 PM
MET WITH:Catina Ibizugbe, ApplicantTIME COMPLETED:
03:18 PM
NARRATIVE
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Licensing Program Analyst (LPA) Susann Sanchez conducted an announced case management inspection to follow up on corrections needed from the prelicensing that was conducted on 01/20/2022. Upon arrival, LPA met with applicant Catina Ibizugbe, who provided LPA a tour of the facility inside and outside.

The following were corrected:
  • Proof of a 2A10BC fire extinguisher in the home.
  • Lockbox for firearm
  • Locks for off- limit areas
  • Remove or block off cactus & aloe Vera plants in the backyard

Proof of corrections were submitted via text on 01/26/2022. LPA took pictures of all corrections made during today's visit.

Also

LPA will submit application for final approval to LPM V. Cook.

Once licensed, the Licensee is required to comply with the terms and limitations stated on the license. A copy of this report was reviewed and provided to the Licensee via email.

Exit interview was conducted with Catina Ibizugbe applicant, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.


SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2022
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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