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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494614
Report Date: 07/26/2021
Date Signed: 07/26/2021 02:19:05 PM

Document Has Been Signed on 07/26/2021 02:19 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CORDETT FAMILY CHILD CAREFACILITY NUMBER:
197494614
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
07/26/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Jerrilyn Cordett-LicenseeTIME COMPLETED:
02:30 PM
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On 7/26/2021 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced 1 Year Required/Annual Random visit for the Cordett Family Child Care Home (FCCH). Present in the home the licensee and 4 (1 biological child) day care children. The home was inspected inside and out according to the facility sketch for health and safety compliance per Title 22. The home is a single story home, day care activities are conducted in a attached garage, children eat and sleep in the living quarters of the home
LPA observed the following:
Care and supervision were observed
The homes capacity was within the scope of the license
Appropriate size fire extinguisher carbon and smoke detector present & operable.
Detergents, toxins and knives were inaccessible,
No guns or weapons present as stated by the Licensee, no weapons observed by LPA.
Properly working telephone
License, facility Sketch, Emergency Disaster Plan & Notification of
pg. 1 of 2
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2021
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CORDETT FAMILY CHILD CARE
FACILITY NUMBER: 197494614
VISIT DATE: 07/26/2021
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Parent’s Rights Poster and California Safety Seat Law are posted
Pediatric CPR and First Aid Card expiring 4/2022
No bodies of water on the premises
Children records available and in good order.
Toys, equipment and materials available and in good order
children outdoor activity is conducted in the homes back yard, the yard is fully enclosed, toys and equipment were in good condition.
Grass was used for cushioning under all climbing equipment.
Safe sleeping was discussed and a copy of the LIC. 9227 -Individual Infant Sleeping Plan, was provided to the licensee.

There were no deficiencies cited during to days visit
An exit interview was conducted and a copy of the report was left with licensee.









pg.2 of 2
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC809 (FAS) - (06/04)
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