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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493078
Report Date: 05/12/2023
Date Signed: 05/12/2023 01:45:55 PM


Document Has Been Signed on 05/12/2023 01:45 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:OLIVE VIEW INFANT-CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197493078
ADMINISTRATOR:CLAUDIA REYESFACILITY TYPE:
830
ADDRESS:14445 OLIVE VIEW DR, BLDG.120TELEPHONE:
(747) 210-3444
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:24CENSUS: 6DATE:
05/12/2023
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Claudia ReyesTIME COMPLETED:
02:00 PM
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On 05/12/23 Licensing Program Analyst (LPA) Justin Dorsey conducted a Case Management- COVID-19 inspection. LPA Dorsey met with Outbreak Investigator Chelsea de Laura as she was leaving the facility to discuss the suggestion made to the center. LPA was greeted by Director Claudia Reyes who guided LPA on a tour of the facility. Upon arrival LPA observed 6 infants with 2 staff.

LPA Dorsey conducted the Case Management inspection for the purpose of a COVID-19 outbreak at the facility. Per Director children's temperatures are only checked when children are suspected to be sick at the center. Per Director the classroom and children's toys are disinfected daily. During the visit LPA also observed the children's isolation area in the directors office.

There were no citations cited today. Outbreak Investigator Chelsea de Laura will provide Regional Office with recommendations that were made at the facility via email.

An exit interview was conducted and a copy of this report was provided along with Notice of Site Visit.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2023
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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