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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419067
Report Date: 07/05/2019
Date Signed: 07/05/2019 04:43:51 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:ROSAZZA FAMILY CHILD CAREFACILITY NUMBER:
197419067
ADMINISTRATOR:ROSAZZA, LESLIE YFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 673-5454
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:14CENSUS: 6DATE:
07/05/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Leslie RosazzaTIME COMPLETED:
04:50 PM
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On 7/5/2019 at 4:20 p.m., Licensing Program Analyst (LPA), Brianna Reynoso met with above facility’s licensee, Leslie Rosazza. LPA was at the facility to conduct a Plan of Correction (POC) inspection. LPA disclosed the purpose of the inspection, and was granted entry into the home by licensee.

Upon arrival LPA verified a census of six children in care. Also present was Staff 2 and Adult 1.



This was a follow up inspection to the inspection report dated 7/3/2019 as on this date, the facility was cited a Type A deficiency. The facility had been cited due to LPA having observed Staff 2 providing care to nine children, while the licensee was out running errands.

During today's inspection, LPA observed adequate ratios and capacities, as both the licensee and Staff 2 were providing care to six children. As a part of the POC, licensee was to submit a declaration to LPA no later than today’s date. LPA received the declaration via email this morning at 10:13 a.m. LPA also conducted a file review for Child 1 and Child 2 and found that both files contained the signed Acknowledgement of Licensing Reports (LIC9224).

Based on LPAs observations during today’s inspection, the Type A deficiency was cleared.

The facility was incompliance per Title 22 regulations, and no deficiencies were cited during today's inspection.

An exit interview was conducted, a copy of this report, notice of site visit, and Letter of Deficiency Citations Cleared were provided to licensee, Leslie Rosazza.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2019
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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