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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304205597
Report Date: 10/24/2019
Date Signed: 10/24/2019 06:20:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LENZINI, JEANETTEFACILITY NUMBER:
304205597
ADMINISTRATOR:LENZINI, JEANETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 594-0247
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:14CENSUS: 8DATE:
10/24/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Jeanette Lenzini, LicenseeTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Yesenia Villa conducted an unannounced case management inspection on this date. LPA Villa was greeted by Licensee Jeanette Lenzini. Also present during today's inspection was Licensees son in law Michael Finlay. Upon arrival LPA Villa observed eight children present four of which were under two years of age.A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The department received a self reported unusual incident that is being investigated at this time. The Department has initiated an investigation in relation to the allegations stated on the unusual incident report involving a personal rights violation. On this day LPA Villa conducted interviews with two adults present and three children. Records were reviewed and an updated children's roster was obtained.

Due to insufficient information available at this time, the above allegation needs further investigation. Further interviews and record reviews are required.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019
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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