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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408030
Report Date: 06/27/2019
Date Signed: 06/27/2019 10:40:41 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197408030
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
06/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:37 AM
MET WITH:Linda Garcia TIME COMPLETED:
10:52 AM
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Licensing Program Analyst (LPA) Lawson met with Licensee, Linda Garcia, who guided analyst on a tour of the facility for an Licensee initiated Case Management- Capacity Increase. This is a single story 3 Bedroom, 2 Bathroom home with Kitchen/Dining area, Family Room, Sunroom (Playroom) and Garage. There is no pool/spa or body of water on the premises. Present during inspection were Licensee and 3 children. Days/hours of operation are Monday through Friday from 7:00 AM to 5:30 PM. Incidental Medical Services (IMS) policy was discussed.

Main care is provided in the Family Room and Playroom(Sunroom). Children use the Bathroom located in the hall. Off limit areas include all Bedrooms, Bathroom #2 and Kitchen and Garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating (central) and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children.

There are no deficiencies.

In accordance with Fire Safety Inspection received 06/11/19, capacity increase from 0008 to 0014 is granted.

Exit interview was conducted and a copy of this report was read and given to Licensee, Linda Garcia, on this date.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee LawsonTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
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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