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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400578
Report Date: 05/25/2022
Date Signed: 05/25/2022 10:28:01 AM

Document Has Been Signed on 05/25/2022 10:28 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SELLS FAMILY CHILD CAREFACILITY NUMBER:
198400578
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
05/25/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Natalie SellsTIME COMPLETED:
10:40 AM
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On 5/25/22 at 9:45 am, Licensing Program Analyst (LPA) conducted an announced Pre-licensing follow-up Inspection. LPA met with Natalie Sells, Applicant, who provided tour of the facility.

The purpose of this inspection was to ensure corrections from prior pre-licensing inspection dated 05/18/22 have been corrected. LPA observed the following:
  • Applicant installed a carbon monoxide and smoke detector in the den.
Applicant purchased a lock box for the weapon that will be stored inside of the home.

LPA observed the weapon stored in an off-limit room of the home. LPA observed the ammunition and weapon are stored separately. LPA observed the off-limit room is kept locked with a key and child safety door knob.

A small family childcare license will be granted upon further review. Once licensed, the Applicant is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the applicant, Natalie Sells.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2022
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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