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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215176
Report Date: 09/10/2019
Date Signed: 09/10/2019 01:54:54 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ABONCE FAMILY CHILD CAREFACILITY NUMBER:
426215176
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
09/10/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Micaela AbonceTIME COMPLETED:
02:00 PM
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Today, Licensing Program Analysts (LPAs) S. Mendoza-Ceja and C. Patterson met with Licensee Micaela Abonce. Ms. Abonce was observed caring for six children of which two are infants. LPAs rviewed “A Child Care Provider’s Guide to Safe to Sleep and Safe Sleep in Child Care" and provided handouts to Ms. Abonce. The home was toured inside and outside. Ms. Abonce stated she recently changed her telephone number which will be updated. LPAs obtained a copy of the child care roster.


No deficiencies cited.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
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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