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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842131
Report Date: 06/29/2021
Date Signed: 06/29/2021 04:28:22 PM

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:BADILLO FAMILY CHILD CAREFACILITY NUMBER:
364842131
ADMINISTRATOR:BADILLO, NELLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 902-6974
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY:14CENSUS: 11DATE:
06/29/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:02 PM
MET WITH:Nellie BadilloTIME COMPLETED:
04:25 PM
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Licensing Program Analyst (LPA) Mabika, met with Licensee, Nellie Badillo on 06/29/2021 for the purpose of conducting a Case management for the sake of checking corrections cited on the last inspection. A tour of the facility was granted by the licensee. The facility appeared clean.

LPA counted 11 children spaced out in groups with one group of 4 children all masked up siting at the table actively engaged in some art project supervised by one staff. All children looked spaced out and actively engaged in some form of activity.

LPA noticed the chairs had been cleaned up as recommended and there was a cleaning schedule in place.

Licensee provided confirmation of a order shipment of napping mats which was saved for the file.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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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