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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618034
Report Date: 12/09/2020
Date Signed: 12/09/2020 03:09:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:BILIK, FLORAFACILITY NUMBER:
343618034
ADMINISTRATOR:BILIK, FLORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 247-3284
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:14CENSUS: 7DATE:
12/09/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Flora BilikTIME COMPLETED:
10:00 AM
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On December 9, 2020, Licensing Program Analyst Tanya Washington and Licensing Program Manager Roxana Saravia contacted Licensee Flora Bilik for a scheduled informal meeting which is being conducted over Facetime due to COVID-19 pandemic.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help provider gain compliance.

Today's informal meeting was arranged by the Department to discuss a recent Type A citation which was cited on 10/08/2020.

Licensee self reported a child who wondered away from the facility. The child was located by the Licensee within 15 minutes, about one half of a mile away from the facility. The child was unharmed and in the presence of a neighbor and a mail carrier. The Licensee immediately notified the child's parent of an incident.

Licensee took the following measures to correct this violation: met with all children, staff and parents regarding safety precautions. She purchased additional security cameras.
Licensee will ensure that when the door alarm goes off she herself or staff will double check who is at the door.

During today's meeting, LPM suggested that licensee review the Department web site www.ccld.ca.gov for updated regulations and important information regarding licensing. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
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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