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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413965
Report Date: 02/01/2023
Date Signed: 02/01/2023 11:27:58 AM


Document Has Been Signed on 02/01/2023 11:27 AM - 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:SUAREZ FAMILY CHILD CAREFACILITY NUMBER:
197413965
ADMINISTRATOR:SUAREZ, MARIBELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 364-5380
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 3DATE:
02/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Maribel SuarezTIME COMPLETED:
11:42 AM
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Licensing Program Analyst (LPA) Justin Dorsey met with Licensee, Maribel Suarez, who guided analyst on a tour of the facility for the One Year Required Inspection. This is a one story 3 bedroom, 1 bathroom home with kitchen, dining room, family room, and ADU. There is no pool on the premises. Upon arrival LPA observed 3 children with the licensee.

Physical Plant: Main care is provided in the bedroom (main care area) near the family room. Children use the bathroom in hallway near the homes master bedroom. Children have access to the main care area, family room, dining area children's bathroom and backyard. Off limit areas include 2 of the homes bedrooms, kitchen, and ADU. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (stored in a closet above the washer and dryer), medicines (in master bedroom) and hazardous items (sharp knives inaccessible on kitchen counter) that can pose a danger to children. There is no fireplace in the home. The home has safe and age appropriate toys, play equipment and materials. The smoke detector, carbon monoxide detector, and Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in the family room. Per Licensee there are no weapon/firearms in the home.

The last fire/earthquake drill was completed 12/2022, LPA reminded licensee that the date and time of the drill is required. Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). Toilet and faucet is clean and operable.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023
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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