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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844453
Report Date: 09/03/2019
Date Signed: 09/03/2019 12:08:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:OROPEZA FAMILY CHILD CAREFACILITY NUMBER:
334844453
ADMINISTRATOR:OROPEZA, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 989-9875
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:14CENSUS: 5DATE:
09/03/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Vanessa OropezaTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Joanne Domingo arrived at the facility to amend a report from a previous visit that was conducted on 7/11/19.

NO DEFICIENCIES WERE CITED DURING THIS VISIT.

A copy of this report along with a Notice of Site visit were provided to Licensee, Vanessa Oropeza on this date and time.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
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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