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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019440
Report Date: 04/24/2023
Date Signed: 04/24/2023 12:35:46 PM


Document Has Been Signed on 04/24/2023 12:35 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:REYES FAMILY CHILD CAREFACILITY NUMBER:
198019440
ADMINISTRATOR:ANGELICA REYESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 330-3409
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:14CENSUS: 12DATE:
04/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Licensee, Angelica Reyes TIME COMPLETED:
12:45 PM
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Licensing Program Analysts (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection to insured that the Type A deficiency, Type B's Deficiencies and Technical Violations cited on 4/18/2023 have been cleared and that the LIC 9224 Acknowledgment Form is on file. LPA met with Angelica Reyes, licensee who guided analysts on a tour of the facility. There were 12 children present- 3 being infants during this inspection. The following was observed:
- Appropriate sleeping arrangements in form of playpens
- Updated Sleep log for infants
- LIC 9227 on file for infants enrolled
- LIC 9224 on file for all children enrolled
- LIC 995 for child # 4
- Fire Extinguisher last serviced on 4/20/2023

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

LPA cleared deficiencies on this date and 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, Angelica Reyes ----------------------------- pg. 1 of 2 -----------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023
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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