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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418441
Report Date: 06/12/2024
Date Signed: 06/12/2024 10:44:19 AM

Document Has Been Signed on 06/12/2024 10:44 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BARRETT FAMILY CHILD CAREFACILITY NUMBER:
197418441
ADMINISTRATOR/
DIRECTOR:		BARRETT, CHEMONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 678-2743
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
06/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Licensee Chemon BarrettTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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THIS IS AN AMENDED REPORT TO CORRECT DEFICIENCY OF THE LIC 809 REPORT PROVIDED TO LICENSEE ON 5/29/24.

On June 12, 2024 at 9:40 am, Licensing Program Analyst (LPA) Angelica Wallin, conducted a case management inspection to amend LIC 809 D report issued on 5/29/24. During inspection, LPA was met by Licensee, Chemon Barrett, and explained reason for visit. LPA toured the home inside and outside and a census of four children in care and one staff was taken.



During inspection, LPA discussed with licensee regarding her request for large license with capacity of 14. The Fire Department has granted clearance for a maximum capacity of 14 children, fire clearance received on 5/21/24. During inspection, LPA reviewed and collected the following documents: updated indoor and outdoor facility sketch and background clearance letter for one staff from Care Provider Management Branch (CPMB).

LPA A. Wallin reviewed amended LIC 809D report with licensee and provided a copy of the amended report.

The Notice of Site Visit (LIC 9213 ) was provided to the Licensee. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00 Exit interview was conducted with Licensee Chemon Barrett and a copy of this report was provided.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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