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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846024
Report Date: 06/07/2022
Date Signed: 06/07/2022 09:39:41 AM


Document Has Been Signed on 06/07/2022 09:39 AM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:ANGULO FAMILY CHILD CAREFACILITY NUMBER:
334846024
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
06/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Alondra AnguloTIME COMPLETED:
09:46 AM
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On date at 09:05 AM, Licensing Program Analysts (LPAs) Jeanette Sanchez and Lorena Valenzuela arrived at the facility to conduct a case management inspection to increase capacity to a large family childcare home. Present during this inspection were: Alondra Angulo and assistants. Fire Clearance was approved by Indio Fire Department on 6/6/22.

At 09:15 AM, LPA toured the facility, inside and out with Alondra Angulo and the following was observed and/or discussed:

An annual inspection was completed on 4/20/22, at which time no deficiencies were found. Technical Violations were issued regarding Infant Safe Sleep regulations. LPAs reviewed infant records to confirm that files were complete. LPAs also reviewed staff files, as they were not present at time of annual inspection.



No deficiencies observed during time of inspection. See Technical Violation Advisory Note.

Once all corrections have been made, with proof sent to licensing, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. As agreed upon by the licensee, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application may be withdrawn, and the license will remain a Small Family Child Care Home.

Exit interview conducted and this report along with the appeal rights were reviewed and provided to licensee Alondra Angulo.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2022
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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