<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403589
Report Date: 04/07/2022
Date Signed: 04/07/2022 04:22:50 PM


Document Has Been Signed on 04/07/2022 04:22 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:REINA FAMILY DAY CAREFACILITY NUMBER:
197403589
ADMINISTRATOR:CECILIA REINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 831-0585
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY:14CENSUS: 4DATE:
04/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Cecilia ReinaTIME COMPLETED:
04:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Isabel Ortega conducted a Case management inspection on 4/07/22. The purpose of this inspection is to conduct a health and welfare check to ensure the health and safety of children in care.

Upon arrival Licensee was picking up children from school and arrived shortly after. LPA observed a total 4 children in care. LPA announced the purpose of the inspection was was granted entry, a tour of the facility was conducted.

During this inspection Licensee granted LPA to remove child care file from facility. LPA obtained child's file(child #1) and reported file to the Palmdale RO.

No deficiencies cited at this time. An exit interview was conducted, appeal rights discussed and a copy of this report was provided. Copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1