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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019670
Report Date: 06/26/2019
Date Signed: 07/08/2019 09:49:26 AM

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:SANTIAGO FAMILY CHILD CAREFACILITY NUMBER:
198019670
ADMINISTRATOR:MARIA R. SANTIAGOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 217-3643
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:14CENSUS: 4DATE:
06/26/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Maria SantiagoTIME COMPLETED:
11:50 AM
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Licensing Program Analysts (LPAs) Ariel Cazares and Dayna Chambers conducted an unannounced Plan of Correction inspection on this date. LPA met with Licensee Maria Santiago and observed 4 children in care.

On 6/6/19, the facility was cited the following and required correction:
102417(g)(1)- Operation of a Family Child Care Home
Fire extinguisher was not serviced since 9/5/17. The smoke detectors in the home were not operational.
Corrected- LPA Cazares tested the two smoke/carbon monoxide detector and found them to be operational. LPA observed the fire extinguisher in the home was serviced on 6/10/19.

The licensee corrected the deficiencies issued on 6/6/19. LPAs did not observe any violations on this date. Exit interview was conducted with Licensee Maria Santiago. A copy of this report was provided.

*Due to computer issue, an electronic version of this report could not be provided. A hard copy of the report was provided to the licensee on this date.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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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