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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191614561
Report Date: 06/01/2022
Date Signed: 06/01/2022 10:16:50 AM


Document Has Been Signed on 06/01/2022 10:16 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:VILLALOBOS, BLANCA FAMILY DAY CAREFACILITY NUMBER:
191614561
ADMINISTRATOR:BLANCA VILLALOBOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 399-6766
CITY:VENICESTATE: CAZIP CODE:
90291
CAPACITY:12CENSUS: 7DATE:
06/01/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:BLANCA VILLALOBOSTIME COMPLETED:
10:30 AM
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On 6/1/2022, Licensing Program Analyst (LPA) Loyce Phillips, conducted an unannounced case management inspection to follow up on COVID-19 concerns and to provide technical assistance. LPA met with Licensee, Blanca Villalobos conducted a facility risk assessment, toured the facility and took a census. Upon arrival, there were 7 children and 2 staff present today at the facility.

LPA discussed with Licensee the current mask mandates from Los Angeles County Department of Public Health (LACDPH). As of 3/14/2022 masking indoors by all visitors, employees and children over 24 months of age is strongly recommended, but no longer required. Individual ECE providers, programs, and facilities may retain more restrictive policies. Licensee stated she understands LACDPH updated mandates regarding masking and will continue to implement wearing mask for staff and children.

LPA provided the following resources to Licensee:


- Guidance for Early Childhood Education Providers Requirements and Best Practices to Licensee.
- Preventing COVID-19: Masks
- Masking Tips for Children

No deficiencies are being cited in accordance to Title22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report and notice of site visit were provided to Licensee, Blanca Villalobos.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2022
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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