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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013339
Report Date: 11/23/2021
Date Signed: 11/23/2021 02:17:27 PM

Document Has Been Signed on 11/23/2021 02:17 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:NAPIER FAMILY CHILD CAREFACILITY NUMBER:
198013339
ADMINISTRATOR:NAPIER, TREVONNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 842-6515
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
11/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Trevonne Napier, LicenseeTIME COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Rita Ramos attempted to conduct an unannounced required 1 year inspection to the above facility on 11/23/2021. LPA arrived at the facility at 1:20 PM, identified self and met with Trevonne Napier, Licensee, who at arrival informed LPA that they have not had any children in care since July of 2021. Licensee had their own child present during the visit.

During the visit, Licensee and LPA discussed Licensee's option on whether or not they would like to go Inactive or surrender their license. LPA advised Licensee that if they wish to go inactive they would have to comply with keeping their Pediatric First Aid & CPR card up to date as well as their fire extinguisher, have operable carbon monoxide detector, smoke detector, and have their annual fees current.

Upon discussing Licensee's options, Licensee decided to surrender their license during the visit and provided the original license to LPA during the visit along with a written and signed declaration. Due to Licensee expressing an interest to re-apply in the future, LPA advised Licensee to keep up to date on Title 22 regulations via the department's website: www.ccld.ca.gov.
.

The facility will be closed out effective today's date.

Exit interview conducted and report was reviewed with the licensee, Trevonne Napier. .
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Rita Ramos
LICENSING EVALUATOR SIGNATURE: DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/23/2021
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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