<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844209
Report Date: 03/24/2022
Date Signed: 03/24/2022 10:30:49 AM


Document Has Been Signed on 03/24/2022 10:30 AM - 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:DANTZLER FAMILY CHILD CAREFACILITY NUMBER:
364844209
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
03/24/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Loretha Dantzler LicenseeTIME COMPLETED:
10:37 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Steven Montoya met with licensee, Loretha Dantzler, who guided analyst on a tour of the facility for a Capacity Increase Prelicensing Inspection.

This is a two story 4 bedroom, 3 bathroom home with kitchen/dining, family room, living room, bonus room (child care), laundry and garage. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (upstair on off limit area), medicines (off limits bedrooms) and hazardous items (sharp knives inside a tight fitting container) that can pose a danger to children.

The smoke detector and carbon monoxide detector, Fire Extinguisher (2A10BC) and home security system has fire are in operable condition. Per Applicant no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/play equipment were observed on the premises. Per Applicant there are no weapon/firearms in the home.

Present at time of inspection, children in care (7) with licensee and spouse. A copy of the report was left with the licensee, appeals rights and notice of site visit.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1