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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841498
Report Date: 04/06/2022
Date Signed: 04/06/2022 01:02:29 PM


Document Has Been Signed on 04/06/2022 01:02 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:CRISTALES FAMILY CHILD CAREFACILITY NUMBER:
364841498
ADMINISTRATOR:CRISTALES, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 669-5988
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 0DATE:
04/06/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Patricia Cristales Licensee TIME COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA) Steven Montoya met licensee conducted an unannounced CM health and safety inspection at the above facility. At the time of the inspection, licensee did not have any children in care. Licensee reports due to the pandemic, she has been debating about continuing licensing efforts, however has not made any efforts to terminate license. All adults living in the home have been background cleared. Per licensee, the hours of operation are Monday through Friday 6:00 a.m. to 6:00 p.m. Change of phone number: (760) 713-1340 and email address:
pattycristales@gmail.com

The Home is set up as follows:
This is a two story house with 5 bedrooms, 3 bathrooms, kitchen/dining room, family/daycare room, living room, and attached garage. Per Licensee the living room, and family room/kitchen,1 bathroom are utilized for the family child care activity area. Per licensee off-limit areas of the home is the all bedrooms, master bathroom, laundry room, and garage. The home was inspected for safety, comfort, cleanliness, telephone service, central air and heat and ventilation.

Main Area: Main care will be conducted in the living room. There is a security gate located prevents children from accessing Living room.

Family room/ Daycare area: In the Family room which is the designated playroom, LPA observed age-appropriate toys and furniture for the children. Several plastic storage bins were observed in which games and toys are stored for the children. The mats were observed to be in good condition. The home has central heating and air conditioning. All windows have screens and are free of cracks, bugs, and debris.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CRISTALES FAMILY CHILD CARE
FACILITY NUMBER: 364841498
VISIT DATE: 04/06/2022
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Continue Inspection:

Backyard: The backyard was inspected; the backyard is dirt landscaping surrounded by vinyl fencing. Children have access to the backyard. LPA's observed, a wooden swing set several fruit trees, with other age appropriate toys. LPAs did not observe a swimming pool or bodies of water on the premises. Licensee will ensure that children are always supervised while outside in the backyard.

--Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

On our Quarterly updates come out every 3 months they are also now in Spanish please log in to the CCLD website or you can email our advocates to have the quarterly updates send directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

No deficiencies cited:



Exit interview conducted and report was reviewed with the licensee Patricia Cristales.

Notice of Site Visit: A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC809 (FAS) - (06/04)
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