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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492800
Report Date: 06/24/2022
Date Signed: 06/24/2022 02:12:21 PM

Document Has Been Signed on 06/24/2022 02:12 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: 3DATE:
06/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Wendy BobadillaTIME COMPLETED:
02:27 PM
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
On 06/24/2022, 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 licensee Wendy Bobadilla and observed 3 children in care.

LPA observed a fence measuring over 5 feet high, the gate opens away from the swimming pool, self-latches and self closes. LPA did not observe any toys or chairs that could be a climbing aid to children in care. During the visit LPA Dorsey observed the home has an off-limits bedroom with a window leading to the pool. LPA observed this room to be made off-limits by two gates inside the home. The off-limits bedroom window also has an alarm that chimes when the window is opened. Per licensee she will get an additional alarm for additional safety and send proof to LPA Dorsey.

Upon returning to the office LPA Dorsey will submit all pictures and measurements to LPM Yates for approval. The facility is in compliance and there are no deficiencies being cited on todays inspection.

An exit interview was conducted and copy of this report along with Notice of Site Visit was provided to the licensee.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2022
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