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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422725
Report Date: 08/05/2019
Date Signed: 08/05/2019 03:54:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIETO ARANGOITIA, ARACELLYFACILITY NUMBER:
013422725
ADMINISTRATOR:ARACELLY PRIETO-ARANGOITIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 400-9900
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 11DATE:
08/05/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:47 PM
MET WITH:Aracelly Prieto ArangoitiaTIME COMPLETED:
04:10 PM
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Licensing Program Analysts (LPA) Briana Plumboy arrived to the facility unannounced to conduct a Case Management Inspection initiated by the licensee. LPA Provided the licensee Aracelly Prieto Arangoitia with a copy of her license. Present during today's visit was 11 preschool age children, licensees school age daughter, and licensees 2 teenage sons, licensee husband Daniel Choy, and assistant Juanita Maldonado.

No deficiencies cited. This report shall remain on file for 3 years. Exit interview conducted with licensee. Notice of Site Visit provided and must be posted for 30 days.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019
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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