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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492800
Report Date: 06/09/2022
Date Signed: 06/09/2022 04:12:52 PM

Document Has Been Signed on 06/09/2022 04:12 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:BOBADILLA FAMILY CHILD CAREFACILITY NUMBER:
197492800
ADMINISTRATOR:BOBADILLA, WENDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 403-9317
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:18 PM
MET WITH:Crystal Mora TIME COMPLETED:
04:28 PM
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On 06/09/2022, Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced case management inspection. The purpose of the inspection is to inspect the facility new above ground swimming pool and ensure that swimming pool fence meets Title 22 Regulations. Upon arrival LPA was greeted by Assistant Crystal Mora and observed 7 children in care.

During the visit LPA Dorsey observed that the fence was measured at 4.5 feet tall. LPA Dorsey observed all other pool fence requirements met Title 22 Regulations. There is an off limits bedroom window that leads to the pool, LPA Dorsey observed the bedroom window to have a chime alarm when the window is opened.

Upon returning to the office LPA Dorsey will submit all pictures and measurements to LPM Yates for guidance.

An exit interview was conducted and copy of this report along with Notice of Site Visit was provided to the Assistant Crystal Mora. LPA Dorsey read the report over the phone with licensee Bobadilla.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2022
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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