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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018993
Report Date: 08/26/2022
Date Signed: 08/26/2022 04:18:02 PM

Document Has Been Signed on 08/26/2022 04:18 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:MASSEY FAMILY CHILD CAREFACILITY NUMBER:
198018993
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 10DATE:
08/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Vanessa Yonko, AssistantTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced required 1 year inspection to the above facility on August 26, 2022. LPA arrived at the facility at 2:00PM, identified self and met with Assistant, Vanessa Yonko, who guided analyst on a tour of the facility. LPA provided Licensee with a copy of the LIC 126 Entrance Checklist to help facilitate the inspection. LPA observed that also present during this inspection, was a volunteer. Licensee was not home upon LPA’s arrival. Licensee returned home at 3:00Pm. LPA observed 10 children upon arrival. Per Assistant, operation hours are 8:00am to 6:00pm. A current children’s roster was available for review.

Due to time constraints, the inspection can't be complete today, 08/26/22. LPA will return at a later date to complete the inspection and issue citations for defiencies observed during inspection.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Ameerah Massey.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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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