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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493493
Report Date: 06/10/2022
Date Signed: 06/10/2022 12:05:11 PM

Document Has Been Signed on 06/10/2022 12:05 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:HILL FAMILY CHILD CAREFACILITY NUMBER:
197493493
ADMINISTRATOR:JILL HILLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 439-9311
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
06/10/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jill Hill, LicenseeTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Katrina Chicote conducted an Unannounced Case Management inspection to follow up on an incident that was reported to the Department on 06/08/22. Upon arrival, LPA met with Licensee's Assistant. LPA singularly toured the facility both indoors and outdoors. LPA observed ten children total with three adults present. All adults have criminal record clearance. Licensee, Jill Hill, arrived at facility at 11:08 AM. LPA introduced herself to Licensee and notified her for the purpose of the visit.

On 06/08/22, an incident was cross reported to the department in regards to a child's personal rights. During this inspection LPA interviewed three staff and five children in regards to incident. LPA interviewed children involved in incident (C1 and C2), who both state they feel safe in the home. LPA obtained facility roster and reviewed documentation.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.

The Notice of Site Visit (LIC 9213) – 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 conducted with the Licensee, Jill Hill.

Report Ends - Page 1 of 1
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2022
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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