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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006681
Report Date: 07/17/2019
Date Signed: 07/17/2019 12:41:56 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CABRAL FAMILY CHILD CAREFACILITY NUMBER:
198006681
ADMINISTRATOR:CABRAL,OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 339-9333
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:14CENSUS: 12DATE:
07/17/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Olga Cabral, LicenseeTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) A. Lucero conducted an unannounced collateral inspection for the purpose of obtaining information and interviewing Child #1 and Child #2. LPA is investigating an incident that occurred at another licensed child care facility that the children attended. Children currently attend Cabral Family Child Care and were present to be interviewed at this location.

No deficiencies were cited on this inspection.

Exit interview conducted with Licensee Olga Cabral. A copy of this report was provided.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019
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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