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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700354
Report Date: 10/29/2020
Date Signed: 10/29/2020 01:39:22 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:WINGERT FAMILY CHILD CAREFACILITY NUMBER:
197700354
ADMINISTRATOR:WINGERT, SUSANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 274-8355
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: DATE:
10/29/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Susann Wingert TIME COMPLETED:
01:39 PM
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Licensing Program Analyst (LPA) Hunt conducted a case management inspection for a modification to the facility plant. LPA met with licensee, Susann Wingert during today’s visit. Licensee has made modifications to the backyard by changing fencing that secures an above ground pool.

During today’s inspection LPA took photos of backyard fence and pool to ensure it meets department regulations. The backyard will be placed off limits until corrections have been made. Licensee states that she remove the above ground pool located in the backyard.

A copy of this report was provided to the licensee on this date 10/29/20.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020
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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