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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413965
Report Date: 03/14/2025
Date Signed: 03/14/2025 01:32:04 PM

Document Has Been Signed on 03/14/2025 01:32 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SUAREZ FAMILY CHILD CAREFACILITY NUMBER:
197413965
ADMINISTRATOR/
DIRECTOR:		SUAREZ, MARIBELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 364-5380
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/14/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Maribel Suarez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On Friday, March 14, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management - Licensee Initiated inspection and met with licensee Maribel Suarez who granted access and guided LPA Rivera to inspect the back addition room. During this inspection no child care children present. Fire clearance approved dated 3/5/2025.

LPA inspected the back addition room and observed a kitchenette, one bathroom, living room and one room.

Areas accessible to children include: all areas in the back addition room.

LPA Rivera inspected the back addition room for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, LPA Rivera observed split type air conditioner/heater unit. LPA observed a carbon monoxide and a smoke detector. LPA Rivera tested the carbon monoxide and smoke alarm and heard the sound, and they are operable. LPA observed the cleaning solutions stored inside the kitchenette cabinet with a child proof. LPA did not observe knives or sharp objects. Licensee stated, the cooking and the knives and sharp objects will remain in the main house. LPA observed the back addition room to be in good condition.

LPA Rivera entered the bathroom and observed the toilet, hand washing sink, hand soap and LPA observed the bottom sink cabinet closed and did not observe hazard materials and observed the bathroom to be in good condition. LPA reminded licensee any personal items (ex; shampoo, toothpaste, mouthwash, or items that fall into that category) must be made inaccessible to children.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, and report was reviewed with the licensee Maribel Suarez.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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