198400687-4-25-2025-54-CC-TRES-DG3SRQ-20250425140643

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400687
Report Date: 04/25/2025
Date Signed: 04/25/2025 02:07:10 PM

Document Has Been Signed on 04/25/2025 02:07 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ELEY FAMILY CHILD CARE		FACILITY NUMBER:	198400687
ADMINISTRATOR/ DIRECTOR:	TAMMY RAE ELEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 842-3472
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 23	CENSUS: 1	DATE:	04/25/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:29 AM
MET WITH:	Licensee Tammy		TIME VISIT/ INSPECTION COMPLETED:	02:20 PM

NARRATIVE

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Licensing Program Analysts (LPA) Tyler Reyes and Alicia Mooberry conducted an unannounced Annual/Random inspection at the above facility. LPAs met with Candace Fowler staff and provided an Entrance Checklist-Family Child Care Homes LIC 126 LPAs conducted a tour of the facility led by staff Candace. LPAs observed (1) child in care during inspection. Hours of operation are Monday through Sunday from 12:00 AM to 11:59 PM. LPAs discussed with staff Candace that children can only be in care a total of (23hrs). The licensee is approved to care for MAX. CAP(WHEN THERE IS AN ASSISTANT PRESENT): 12 - NO MORE THAN 4 INFANTS. CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.

During the inspection, the following individuals were present in the home: staff Candace. Any individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption. LPAs observed (2) adults outside cleaning the facility. Staff Candace confirmed the (2) adults present are responsible for cleaning outside the facility. LPAs informed that any individual that has direct contact with the children are required to have a criminal record clearance or exemption.

Facility Postings: LPAs observed the required posting in the daycare room Facility License, LIC 9148 Earthquake Preparedness, and LIC 610A Emergency Disaster Plan. A copy of PUB 9148 Notification of Parents’ Right was provided. LPAs instructed staff Candace Facility License, PUB 394, LIC 9148, and any waivers need to be posted in prominent, publicly accessible area at facility.

Pediatric CPR/First Aid in Pediatrics Certification: Based on record review it was observed staff Candace does not have a valid Pediatric CPR and First Aid. This poses a potential health and safety risk to the child in care.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Tyler Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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Document Has Been Signed on 04/25/2025 02:07 PM - It Cannot Be Edited

Created By: Tyler Reyes On 04/25/2025 at 01:11 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above an electrical fireplace in the dining room. The electrical fire place has small heating vents which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2025
	Plan of Correction
1 2 3 4	Licensee will ensure a gate is securely in place preventing children from accessing the electrical fire place. License will provide by POC Due Date via email.

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in poison and cleaning products are centrally stored in laundry area cabinet by a childproof latch despite having older children which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2025
	Plan of Correction
1 2 3 4	Licensee will ensure all poisons and cleaning compounds are inaccessible to children in care. Licensee will provide a key lock to the cabinent. Licensee will provide proof by POC Due Date via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Karen Chambers
NAME OF LICENSING PROGRAM MANAGER:

	Tyler Reyes
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/25/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

Page: 3 of 9

Document Has Been Signed on 04/25/2025 02:07 PM - It Cannot Be Edited

Created By: Tyler Reyes On 04/25/2025 at 01:11 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in staff Candace and driver Shannon does not have proof of Pediatric CPR/First Aid which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2025
	Plan of Correction
1 2 3 4	Licensee will ensure required employees have a current Pediatric CPR/First Aid. Licensee will provide proof of staff Candace and driver Shannon have a current Pediatric CPR/First Aid. Licensee will provide proof by POC Due Date via email.

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in staff Candace and Shannon Jones driver was missing proof of immunization which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2025
	Plan of Correction
1 2 3 4	Licensee will ensure all employees have a proof of immunization meales, pertussis, influenza, and TB clearance. Licensee will provide proof of staff Candace and driver Shannon immunization. Licnesee will submit proof by POC Due Date via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Karen Chambers
NAME OF LICENSING PROGRAM MANAGER:

	Tyler Reyes
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/25/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

Page: 4 of 9

Document Has Been Signed on 04/25/2025 02:07 PM - It Cannot Be Edited

Created By: Tyler Reyes On 04/25/2025 at 01:11 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(7)

Operation of A Family Child Care Home

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in child 1 (C1) does not have LIC 627 Concent for Emergency Medical Treatment in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2025
	Plan of Correction
1 2 3 4	Licensee will ensure all children have required documents including LIC 627 Concent for Emergency Medical Treatment in their file. Licnesee will provide LIC 627 for C1 by POC Due Date via email.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Karen Chambers
NAME OF LICENSING PROGRAM MANAGER:

	Tyler Reyes
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/25/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
	VISIT DATE: 04/25/2025

NARRATIVE

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Emergency Disaster Drill: Earthquake Drill conducted on 4/12/25

Facility Sketch: The facility is a single-story structure that consist of a front yard, laundry area, restroom, kitchen, dining room, day care room, (3) bedrooms, office, and backyard.

On-Limits areas: Front yard, laundry area, restroom, dining room, day care room, (2) bedrooms, office, and backyard.

Off-Limits area: (1) bedroom and kitchen

Infants: LPAs observed (1) infant in care. Napping equipment was observed, including (1) play yard, each equipped with a mattress and fitted sheet. The infant sleep log was reviewed, which included the date, infant’s name, and the time of each 15-minute check. The LIC 9227 Individual Sleep Plan was also reviewed for infant up to 12 months of age. Per staff Candace all sheets and blankets are washed every two to three days and as needed.

Meals: Per staff Candace, children will have meals in dining room. Licensee provides meals for children. Staff Candace was advised to ensure all food brought from home is properly labeled and stored. Per staff Candace (2) children have food allergies. Facility ensure children are provided alternatives and staff members are made aware children’s food allergies.

Medication: Per Licensee the facility will provide incidental medical services if required, medication will be inaccessible to children by centrally storing and locking. Medications will be administered in accordance with PIN 22-02-CCP, which outlines requirements for proper storage, documentation, and staff training. Personal medication is in the laundry area top cabinet accessible which poses a potential health and safety risk to older children in care.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Tyler Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
	VISIT DATE: 04/25/2025

NARRATIVE

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The following on-limit areas that will be used by children were inspected for safety, comfort, and cleanliness. LPAs observed age-appropriate toys and learning materials. Telephone service is provided via cell phone. LPAs observed an electrical fireplace in the dining room. The electrical fire place has small heating vents which poses a potential risk to children in care. The facility provides heating and cooling through a central air system. LPAs observed a 2A10BC fire extinguisher located in dinning room fully charged with a service date July 29, 2024. The home has an operable smoke and carbon monoxide detector. The first aid kit was observed in laundry area top cabinet. Isolation area for sick children is in the dining room

Poison and cleaning products are centrally stored in laundry area cabinet by a childproof latch poses a potential health and safety risk to older children in care. There are no personal hygiene supplies accessible to children in the restroom. There are no firearms on the premises. If firearms are present, LPAs verified per Title 22 regulations that they are locked, with ammunition stored separately. Per licensee no pets are present at the facility.

Outdoor: Children are using the front and backyard for outdoor play. The facility yard is not enclosed and accessible to the font property with a different address. Per staff Candace children are supervised during outdoor play. LPAs observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. No animal feces were observed. There are no pools or spas, or other bodies of water. LPAs observed a trampoline. LPAs provided trampoline safety from U.S Consumer Product Safety Commission. Per staff Candace the trampoline is used in accordance to manufacture directions.

Staff Files: LPAs reviewed Licensee, staff Candace, and driver Shannon which included the following documentation: LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirements to Report Child Abuse, Proof of Immunizations, and Mandated Reporting Training Certificate. (2) of (3) staff members were missing documents. Staff Candace and Shannon Jones driver was missing proof of immunization which poses a potential healthy and safety risk. Staff Candace and driver Shannon was missing Pediatric CPR/First Aid which poses a potential health and safety risk

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Tyler Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

Page: 8 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
	VISIT DATE: 04/25/2025

NARRATIVE

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Children Files: LPAs reviewed (1) child’s file, which included the following documentation: LIC 282 Affidavit Regarding Liability Insurance, LIC 700 Identification and Emergency Information, LIC 627 Consent for Emergency Medical Treatment, LIC 995A Notification of Parents’ Rights, and LIC 9224 Acknowledgment of Receipt of Licensing Reports it was not applicable. Child 1 (C1) was missing LIC 627 Consent for Emergency Medical Treatment which poses a potential health and safety risk.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

://www.ada.gov/resources/child-care-centers/.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Tyler Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

Page: 7 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198400687
	VISIT DATE: 04/25/2025

NARRATIVE

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Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Staff Candace, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and Appeal Rights provided with staff Candace and Licensee Tammy . Attached LIC 809-D for citations. (5) Type B were issued.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Tyler Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC809 (FAS) - (06/04)

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