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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700543
Report Date: 12/23/2021
Date Signed: 12/23/2021 04:38:55 PM

Document Has Been Signed on 12/23/2021 04:38 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:THOMAS FAMILY CHILD CAREFACILITY NUMBER:
197700543
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/23/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
04:34 PM
MET WITH:Andreana ThomasTIME COMPLETED:
04:35 PM
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On 12/23/2021, Licensing Program Analyst (LPA) Carol Heath conducted an announced in-person inspection to the Jones Family Child Care Home. LPA met with applicant Andreana Lorine Thomas. The purpose of the inspection is to conduct a follow-up Pre-Licensing Inspection to review the corrections required for licensure. LPA and Applicant toured the facility inside and out to ensure the home meets State Licensing Title 22 Regulations.

The following corrections were observed during the time of this inspection:

o There is a door lock which made the Office inaccessible to children.
o There is a door lock which made the Laundry room inaccessible to children.
o There is a safety gate which made the Family room and Dinning area inaccessible to children
o There is a cover for the AC units which it made them inaccessible to children
o The backyard playground equipment is anchored to the ground


***As a result of this inspection, the home does meet Title 22 Regulations. The applicant is ready for licensure pending the manager's approval.

The exit interview was conducted and the report was emailed and reviewed with the applicant Andreana Lorine Thomas
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2021
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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