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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197400479
Report Date: 05/11/2023
Date Signed: 05/11/2023 05:13:10 PM


Document Has Been Signed on 05/11/2023 05:13 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:CASTANEDA FAMILY DAY CAREFACILITY NUMBER:
197400479
ADMINISTRATOR:GUADALUPE CASTANEDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 765-5345
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:14CENSUS: 7DATE:
05/11/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Guadalupe Castaneda, LicenseeTIME COMPLETED:
05:20 PM
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On 05/11/23, License Program Analyst (LPA) Justeene Tamayo conducted a Case Management - Other inspection at Castaneda Family Child Care Home. LPA met with Licensee Guadalupe Castaneda and assistant #1. The purpose of the visit was to complete a health and safety check.

At the time of inspection there was 1 preschool child, and 6 school age children. LPA Tamayo inspected all areas of the home for health and safety compliance. During the visit Adult #1 was not observed to be in the home.

A copy of the report and appeals right were left with the licensee as well as the notice of site visit and Plan of Correction Letter.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:
DATE: 05/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/11/2023
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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