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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018212
Report Date: 01/09/2020
Date Signed: 01/09/2020 01:50:37 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NARVAEZ FAMILY CHILD CAREFACILITY NUMBER:
198018212
ADMINISTRATOR:NARVAEZ, BEATRIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 513-3492
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 3DATE:
01/09/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Beatriz NarvaezTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Proof of Correction inspection to the above facility. The purpose of today's inspection is to verify that corrections were made from a previous visit. LPA met with Licensee Beatriz Narvaez, who provided documentation for proof of correction. A cleared assistant arrived approximately 20 minutes later.

The following items have been corrected:

Personal Rights: LPA observed the outdoor play yard appearing to be in safe conditions. Cleared.

Immunizations: LPA observed proof of immunizations for Child #1 and Child #2. Cleared.

All citations have been corrected and cleared. There are no citations being issued at this time. A proof of corrections letter was provided to the Licensee.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 daysduring the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted with Licensee Narvaez.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
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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