<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019149
Report Date: 01/17/2023
Date Signed: 01/17/2023 03:26:33 PM


Document Has Been Signed on 01/17/2023 03:26 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:SALAZAR FAMILY CHILD CAREFACILITY NUMBER:
198019149
ADMINISTRATOR:SALAZAR, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 447-8019
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:14CENSUS: 11DATE:
01/17/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Yolanda SalazarTIME COMPLETED:
03:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced POC (plan of correction) inspection to ensure that the Type B deficiency cited on 1/13/23 has been cleared. LPA met with Licensee, Yolanda Salazar, who guided analyst on a tour of the facility. There were 11 children present during this inspection. The following was observed:

· LPA observed the 2A 10BC Fire Extinguisher to have a service date of 1/16/23


· LPA also observed LIC 9224s signed for all children present

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared the deficiency on this date and provided a copy of the Licensing Report to Yolanda Salazar. LPA also issued POC clearance letter during the visit.

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

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Yolanda Salazar.

Page 1 of 1

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1