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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419067
Report Date: 05/16/2019
Date Signed: 05/16/2019 10:27:23 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:ROSAZZA FAMILY CHILD CAREFACILITY NUMBER:
197419067
ADMINISTRATOR:ROSAZZA, LESLIE YFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 673-5454
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:14CENSUS: 3DATE:
05/16/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Leslie Yolanda RosazzaTIME COMPLETED:
10:40 AM
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On 5/16/2019 at 9:00 a.m., Licensing Program Analyst (LPA) Brianna Reynoso met with above facility's licensee, Leslie Yolanda Rosazza. LPA was at the facility to conduct an unannounced Case Management - Other inspection. LPA disclosed the purpose of the visit and was granted entry into the facility by licensee.

Upon arrival LPA verified a census of three children in care.

LPA observed a pool gate which was made up of mesh material on the left hand side of the gate, and iron with iron rod bars on the right side of the gate. The mesh gate and the iron gate both had self latching doors that met the Title 22 requirements.

In order to prevent the spacing in between the iron rod bars from being out of compliance, licensee placed a mesh material on the self latching door made up of iron rod bars. Licensee also nailed in white plastic lattice boards onto the remaining right side of the iron gate.

Although the openings on the lattice boards are not wide enough to where a child could climb the gate, the department is concerned the lattice boards may obscure the pool from view, due to the width of the material.

At this time the licensee was informed to submit a waiver to the Palmdale Regional Office for review. Licensee was informed of the waiver process, and of the department's right to approve or deny a waiver.

An exit interview was conducted, a copy of this report, and notice of site visit were provided to licensee, Leslie Yolanda Rosazza.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
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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