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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012102
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:54:11 PM

Document Has Been Signed on 08/30/2022 02:54 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:ARRINGTON FAMILY CHILD CAREFACILITY NUMBER:
198012102
ADMINISTRATOR:ARRINGTON, TERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 637-5377
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
08/30/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Licensee - Teresa ArringtonTIME COMPLETED:
03:08 PM
NARRATIVE
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Licensing program analyst (LPA) R. Derraco conducted an unannounced case management visit to observe corrections to citations issued on 08/18/22. LPA met with licensee, Teresa Arrington who guided analyst on a tour of the facility. LPA observed 8 children in care and 2 additional adults. LPA observed the home to be clean and in good repair. LPA observed mandated reporter AB1207 compliant training certificate on file - date completed 08/21/22. LPA also observed immunization record for assistant on file. LPA printed out and provided plan of correction letters to licensee.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Teresa Arrington.

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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