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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700076
Report Date: 07/27/2021
Date Signed: 07/27/2021 12:32:56 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:SERRANO FAMILY CHILD CAREFACILITY NUMBER:
197700076
ADMINISTRATOR:SERRANO, TOMASAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 809-6722
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY:14CENSUS: 6DATE:
07/27/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Tomasa Serrano, LicenseeTIME COMPLETED:
01:20 PM
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On 07/27/2021, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection. The purpose of the inspection is to inspect the facility new in ground swimming pool and ensure that swimming pool fence meets Title 22 Regulations. Upon arrival LPA was greeted by licensee and observed 6 children in care. Licensee guided LPA on a tour of the facility.

LPA observed a mesh fence measuring at 5 feet high, the gate opens against from the swimming pool, self-latches and self closes. LPA did not observe any toys or chairs that could be a climbing aid to children in care. Per licensee the rear yard is now off limits to children in care and there is a wooden fence that makes the rear yard inaccessible to children in care. Children are now playing in front yard with supervision of the licensee. Licensee will submit an updated facility sketch to the department by 07/30/2021.

The swimming pool meets Title 22 Regulations. The facility is in compliance and there are no deficiencies being cited on todays inspection.

An exit interview was conducted and copy of this report along with Notice of Site Visit was provided to the licensee.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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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