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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372010482
Report Date: 03/24/2023
Date Signed: 03/24/2023 08:53:35 AM

Document Has Been Signed on 03/24/2023 08:53 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CARPENTER, VIVIAN FAMILY CHILD CAREFACILITY NUMBER:
372010482
ADMINISTRATOR:VIVIAN CARPENTERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 560-6433
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 3DATE:
03/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Electra CarpenterTIME COMPLETED:
09:15 AM
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On 3/24/23 at 8:20 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced Proof of Corrections (POC) visit to facility. Upon arrival, LPA met with assistant Electra Carpenter and toured the facility. Census was three children. Also present in the home was Licensee Vivian Carpenter and Chancellor Carpenter. Proper supervision, ratios and capacity were observed. At a previous visit on 3/3/23, LPA cited for visible clutter in the kitchen area. LPA observed kitchen area and table clean and clear of clutter. LPA cleared deficiency and provided clearance letter to assistant. Electra Carpenter stated that now the rain has stopped, they will have someone come out to fix the ceiling area in the room next to the kitchen. LPA requested to update her on the ceiling situation once fixed. Exit interview conducted and report was reviewed with facility representative Electra Carpenter. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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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