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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700003
Report Date: 08/17/2021
Date Signed: 08/17/2021 02:20:46 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:CERON FAMILY CHILD CAREFACILITY NUMBER:
367700003
ADMINISTRATOR:CERON,JULIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 339-5858
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 4DATE:
08/17/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Julia CeronTIME COMPLETED:
02:35 PM
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On 08/17/21 Licensing Program Analyst (LPA) Justin Dorsey conducted an Inspection at Ceron Family Child Care. The purpose of the inspection was a Plan of Correction to review the deficiencies cited on 07/22/21. LPA Dorsey met with Licensee Julia Ceron and toured the facility.

The following was observed:
1.) The licensee conducted disaster drills on 08/02/21. LPA Dorsey observed the disaster drill log to be completed.

Exit interview conducted a copy of this report, Notice of Site Inspection and Deficiency Clearance Letter was left with Licensee Julia Ceron.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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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