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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197404126
Report Date: 10/22/2019
Date Signed: 10/22/2019 09:55:33 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:SAN FERNANDO GARDENS CHILD CARE CENTERFACILITY NUMBER:
197404126
ADMINISTRATOR:AURA OSOYFACILITY TYPE:
850
ADDRESS:10896 LEHIGH AVE.TELEPHONE:
(818) 834-7874
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:24CENSUS: 15DATE:
10/22/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Aura OsoyTIME COMPLETED:
09:16 AM
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
On 10/22/19 at 8:31 a.m., Licensing Program Analyst (LPA) Isabel Ortega was greeted by above facility's licensee, Aura Osoy. LPA was at the facility to Amend findings dated on 10/02/19 regarding a complaint investigation. LPA disclosed the purpose of the inspection and was granted entry by the Site Director, who guided LPA on a tour of the facility. Upon entry LPA observed 15 children in care.

Complaint Investigation Report Amended and signature was attained.

An exit Interview was conducted, a copy of this Report, Amended report, a Notice of Site visit and appeal rights were provided to the Site Director Aura Osoy.

SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2019
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