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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418134
Report Date: 03/03/2022
Date Signed: 03/03/2022 02:19:30 PM


Document Has Been Signed on 03/03/2022 02:19 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:A CARING TOUCH CHRISTIAN FAMILY CENTERFACILITY NUMBER:
197418134
ADMINISTRATOR:MCNEAL, DENISEFACILITY TYPE:
830
ADDRESS:3035 EAST AVENUE STELEPHONE:
(661) 533-3910
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:15CENSUS: 4DATE:
03/03/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Tanisha BronsonTIME COMPLETED:
02:30 PM
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On 3/2/2022, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced POC follow up for the infant program. LPA met with Director, Tanisha Bronson.

LPA received following documentation:
1. Tanisha Bronson's CPR and First aid training 2/26/22
2. Tanisha Bronson, Ana Duran and Yailyn Duran's Mandated Reporter Training
3. Daily Sign in and out sheet
4. Ana's Immunization record
5. Staff's Influenza declination
6. Infant Safe Sleep log

There are 3 more teachers still need to completed their Mandated Reporter Training. The Director will email the certification by next Monday 3//72022
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2022
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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