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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400649
Report Date: 06/20/2024
Date Signed: 06/20/2024 11:27:35 AM

Document Has Been Signed on 06/20/2024 11:27 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:THOMAS FAMILY CHILD CAREFACILITY NUMBER:
198400649
ADMINISTRATOR/
DIRECTOR:		THOMAS, CLEOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 818-9324
CITY:DOWNEYSTATE: CAZIP CODE:
90240
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 1DATE:
06/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Licensee Cleo ThomasTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On June 20,2024 at 10:45 am, at Licensing Program Analyst (LPA) Angelica Wallin conducted an unannounced case management inspection regarding updated facility sketch and on-limits living room. LPA was met by Licensee, Cleo Thomas, who provided assistance and tour of the facility. A census of 1 child was taken.

During inspection, LPA reviewed updated facility sketch and observed facility plant to match updated facility sketch. During inspection, LPA observed living room with safe appropriate toys, a fire place in the living room with anchored metal barricade, sleep room located by the front entrance with a wooden barricade, off-limits room made secure with a child proof door knob cover and off-limits kitchen made secure with plastic barricade.

Facility is in compliance with Title 22 Regulations governing California Family Child Care Homes. No deficiencies cited at this time. Exit interview conducted and report was reviewed with licensee, Cleo Thomas. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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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