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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494713
Report Date: 12/21/2022
Date Signed: 12/22/2022 09:44:00 AM

Document Has Been Signed on 12/22/2022 09:44 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BROWN FAMILY CHILD CAREFACILITY NUMBER:
197494713
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/21/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Chontell BrownTIME COMPLETED:
03:00 PM
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On12/21/2022 Licensing Program Analyst (LPA) V. Wheatley conducted an announced inspection with applicant, Chontell Brown for the purpose of a pre-licensing inspection of increase in capacity. LPA observed only the applicant on the premises.

The applicant is applying for a large family child care license with a maximum capacity of 14.

Per the application, currently, the ages the applicant wishes to provide services for children birth to 12 years old with the hours of operation of 23 hours, Monday through Sunday. Applicant was informed that any changes to ages, hours and days of operation shall be submitted to the department for approval prior to initiation of change.

LPA toured the entire inside and outside of the home. The home is a three bedrooms, two bathroom house. The primary day care shall be conducted in the living room and one bedroom. The other two bedrooms are off-limits and will remain inaccessible to day care children. The doors are locked to prevent access to children. LPA observed age appropriate toys and equipment. The children's equipment will be kept separate and individual. LPA observed cots and first aid kit. The kitchen is off-limits with a child proof gate.

LPA observed locks on the kitchen and bathroom cabinets which are required for chemicals, cleaning supplies, and any other hazardous items to children. Licensee was informed the importance of this safety and regulation. LPA observed a backyard no with no bodies of water. The fireplace is inaccessible behind the sofa.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2022
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: BROWN FAMILY CHILD CARE
FACILITY NUMBER: 197494713
VISIT DATE: 12/21/2022
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The home has central heating. LPA observed all electrical outlets were covered. Fire extinguisher is located in the kitchen. LPA checked the smoke detector and carbon monoxide detector which are all working properly. LPA observed a fully stocked first aid kit.

According to the licensee there is one small dog which is inaccessible. There are no firearms or bodies of water on the premises.

LPA observed all required forms in the application to be correct. LPA reviewed the applicant's CPR/first aid and Mandated Reporter training.

Exit interview conducted, and report was reviewed with the licensee.

A license for 14 will be granted.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
LIC809 (FAS) - (06/04)
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