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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843830
Report Date: 01/04/2022
Date Signed: 01/04/2022 01:39:01 PM

Document Has Been Signed on 01/04/2022 01:39 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:FERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
364843830
ADMINISTRATOR:DAWN & ALBERT FERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 617-5600
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
01/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Dawn FernandezTIME COMPLETED:
01:53 PM
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On 01/04/2022, Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced case management inspection. The purpose of the inspection is to inspect the facility new in ground swimming pool and ensure that swimming pool fence meets Title 22 Regulations. Upon arrival LPA was greeted by licensee Dawn Fernandez and observed 12 children in care.

LPA observed a fence measuring over 5 feet high, the gate opens away from the swimming pool, self-latches and self closes. LPA did not observe any toys or chairs that could be a climbing aid to children in care.

The swimming pool meets Title 22 Regulations. The facility is in compliance and there are no deficiencies being cited on todays inspection.

An exit interview was conducted and copy of this report along with Notice of Site Visit was provided to the licensee.
DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2025
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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