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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408081
Report Date: 07/24/2019
Date Signed: 07/24/2019 03:24:22 PM

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:GATLIN FAMILY CHILD CAREFACILITY NUMBER:
197408081
ADMINISTRATOR:AIDA GATLINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 533-3902
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:11CENSUS: 8DATE:
07/24/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Aida GatlinTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Neal met with licensee Aida Gatlin for the purpose of a Case Management - Plan of Correction inspection to verify corrections made from deficiencies cited on 6/14/2019.

LPA observed the following corrections made at the facility:
- There is no longer an exersaucer at the facility. LPA observed appropriate toys and equipment.
- Licensee took LPA Neal on a tour of the kitchen and bathroom. Cabinets were observed to have safety latches or magnetic locks making hazardous items inaccessible to children in care.

Plan of Correction cleared during inspection.

Exit interview was conducted and a copy of report was read and provided to the licensee on this date.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
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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