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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004325
Report Date: 05/29/2024
Date Signed: 05/29/2024 03:39:48 PM


Document Has Been Signed on 05/29/2024 03:39 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ENCISO FAMILY CHILD CAREFACILITY NUMBER:
198004325
ADMINISTRATOR:ENCISO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 541-4583
CITY:VALINDASTATE: CAZIP CODE:
91744
CAPACITY:14CENSUS: 8DATE:
05/29/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Maria EncisoTIME COMPLETED:
04:00 PM
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Conducted in Spanish

On 05/29/2024, Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure the deficiency cited on 04/26/2024 during an annual visit had been corrected. A COVID risk assessment was conducted. LPA met with Licensee, Maria Enciso. LPA observed 8 children in care with 1 additional adult.

During the visit LPA, observed that organization and were found to be cleaned in the following areas of the kitchen, playroom, and in front of the fireplace. LPA advised Licensee to continue the cleaning and maintain the organization for a safe environment for the children. LPA obtained photos.

LPA cleared the deficiency on this date and provided a Proof of Correction clearance letter during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given to Licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Maria Enciso.



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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2024
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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