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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192009634
Report Date: 05/17/2019
Date Signed: 05/17/2019 10:25:15 AM

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:OSEGUERA FAMILY CHILD CAREFACILITY NUMBER:
192009634
ADMINISTRATOR:OSEGUERA, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 428-9141
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 3DATE:
05/17/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Patricia OsegueraTIME COMPLETED:
10:39 AM
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 A Plan of corrections inspection was conducted by Licensing Program Analyst (LPA), Timothy Fields. LPA met with Licensee Patricia Oseguera. Upon arrival LPA observed licensee's assistant along with three day care children.

The purpose of today's inspection is to ensure licensee is in compliance with Title 22 regulation, 102417(g)(4)(C) Operations of a Family Child Care Home, cited on 5/2/19. LPA observed ammunition stored in a locked box, separate from firearms located in an inaccessible area of the home.

Licensee was in compliance with the above regulation on this date. LPA also obtained a copy of licensee's Mandated Reporter Certification.

An exit interview was conducted with licensee Patricia Oseguera and a copy of the report and notice of site visit was provided.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
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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