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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
153909232
Report Date:
03/28/2023
Date Signed:
04/10/2023 03:35:39 PM
Document Has Been Signed on
04/10/2023 03:35 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
PALMDALE CHILD CARE
,
39115 TRADE CENTER DR STE. 201
PALMDALE
,
CA
93551
FACILITY NAME:
SALINAS, ELIZABETH FAMILY CHILD CARE
FACILITY NUMBER:
153909232
ADMINISTRATOR:
SALINAS, ELIZABETH
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(661) 487-5002
CITY:
ARVIN
STATE:
CA
ZIP CODE:
93203
CAPACITY:
14
CENSUS:
DATE:
03/28/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:00 AM
MET WITH:
TIME COMPLETED:
10:15 AM
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SUPERVISOR'S NAME:
Mariela Ramon
TELEPHONE:
(661) 202-3798
LICENSING EVALUATOR NAME:
Barbara Beneroso
TELEPHONE:
(661) 202-3411
LICENSING EVALUATOR SIGNATURE:
DATE:
03/28/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/28/2023
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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