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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008757
Report Date: 05/27/2022
Date Signed: 05/27/2022 11:36:55 AM


Document Has Been Signed on 05/27/2022 11:36 AM - 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CASTELLANOS FAMILY CHILD CAREFACILITY NUMBER:
198008757
ADMINISTRATOR:CASTELLANOS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 638-1157
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:14CENSUS: 1DATE:
05/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Maria Castellanos, LicenseeTIME COMPLETED:
11:45 AM
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 THIS INSPECTION WAS CONDUCTED IN SPANISH
Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced case management inspection on 05/27/22. LPA arrived to the facility at approximately 10:40AM and met with Licensee, Maria Castellanos, who guided LPA on a tour of the facility. There were no children present upon arrival. At approximately 11:20AM one child arrived.

During the inspection LPA obtained a copy of the facility roster and took pictures. LPA advised Licensee to ensure that the kitchen and play rooms are kept orderly. An advisory note was provided due to no children being present at the time of the advisory. Licensee removed items prior to the one child arriving.

There were no deficiencies cited during today's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Maria Castellanos.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/27/2022
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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