<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415240
Report Date: 04/05/2024
Date Signed: 04/05/2024 03:06:41 PM

Document Has Been Signed on 04/05/2024 03:06 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:ALLEN-WOOD FAMILY CHILD CAREFACILITY NUMBER:
197415240
ADMINISTRATOR/
DIRECTOR:		ALLEN-WOOD, TILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 763-4155
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
04/05/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:56 PM
MET WITH:Licensee Tila Allen-WoodTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On April 5, 2024, at 3:00 pm during final printing, Licensing Program Analyst (LPA) A. Wallin experienced technical difficulties in final printing LIC 809 Facility Evaluation Report.

LPA observed CARE TOOL inspection did not save and record. LPA conducted a case management annual continuation inspection to address issue and complete inspection. Per inspection, no deficiencies observed and cited. LPA provided licensee, Tila Allen-Wood a copy of LIC 809 Case management annual continuation report with signature.

Exit interview conducted and report was reviewed with licensee, Tila Allen-Wood. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1