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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808632
Report Date: 02/25/2022
Date Signed: 02/25/2022 05:00:06 PM


Document Has Been Signed on 02/25/2022 05:00 PM - 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:DURAN FAMILY CHILD CAREFACILITY NUMBER:
364808632
ADMINISTRATOR:DURAN, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 337-7739
CITY:LAKE ARROWHEADSTATE: CAZIP CODE:
92352
CAPACITY:14CENSUS: 7DATE:
02/25/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:23 PM
MET WITH:Licensee Monica Duran TIME COMPLETED:
05:15 PM
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On February 25, 2022, Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Plan of Correction (POC) inspection. The purpose POC inspection was to clear deficiencies cited on February 17, 2022. Present during today’s inspection were seven childcare children (one infant, three - two year olds, three - three year olds). LPA completed a tour with the assistant.

During the inspection at approximately 4:09pm, one child was picked up and the Licensee arrived to the home.
Based on LPAs observations on this day the facility has failed to correct the deficiency cited on February 17, 2022, 102416.5(d)(2) Staffing Ratio and Capacity. This conclusion was based upon LPA's observation, as one staff member was present with seven children. All children present were under the age of six years old and there was not a child present whom was enrolled in kindergarten. Therefore the facility was out of ratio when LPA arrived on grounds.

Civil penalties were assessed due to the facility failing to correct the previously cited deficiencies.

An exit interview was conducted, a copy of this report, and notice of site visit were provided to Licensee Monica Duran.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:
DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2022
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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