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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493173
Report Date: 06/02/2020
Date Signed: 06/02/2020 03:34:20 PM

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:TERRAZAS AND RUIZ FAMILY CHILD CAREFACILITY NUMBER:
197493173
ADMINISTRATOR:TERRAZAS, A & RUIZ, FFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 641-3900
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 0DATE:
06/02/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:FLORITA RUIZ TIME COMPLETED:
03:30 PM
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On 6/2/2020 at 2:15 PM, Licensing Program Analyst (LPA) Loyce Phillips conducted an announced case management Tele-Visit via Face Time inspection. LPA, spoke with licensee, Florita Ruiz who is requesting to move the child care area to a new addition room of the home. The City permit was approved by the City of Los Angeles and copy was submitted to the Palmdale Regional Office. Licensee, guided LPA on a virtual tour of the home and the following was observed:

Main care will be provided in the new constructed additional room with a restroom and storage closet. The main entrance to the child care area is through the homes side gate and back sliding door. The restroom had a working toilet and sink. LPA, observed age appropriate toys, a reading area, active play area and napping equipment. Children furniture is in good condition. The backyard has a grassy area and rubber mulch for active play. LPA, observed outdoor age appropriate equipment and toys, a medium size play house with a slide and swings. The structure is properly anchored into the ground.



An exit interview was conducted, a copy of this report was read and email for read receipt to Licensee, Florita Ruiz.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2020
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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