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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494284
Report Date: 06/29/2021
Date Signed: 06/29/2021 11:00:34 AM

Document Has Been Signed on 06/29/2021 11:00 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:OREN FAMILY CHILD CAREFACILITY NUMBER:
197494284
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
06/29/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:SHARON ORENTIME COMPLETED:
11:10 AM
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On 6/29/2021 at 10:00am Licensing Program Analyst (LPA), Loyce Phillips met with Licensee, Sharon Oren today for the purpose of conducting a Plan of Correction inspection. During this unannounced inspection, LPA observed 8 children in care and the following corrections:

· The Children files were observed to be complete.
· Mandated reporter for staff 1 has been completed on 6/25/2021.

All citations issued on 6/22/2021 have been cleared.

An exit interview was conducted. A copy of this report, notice of site visit, deficiencies clearance letters were discussed and provided to Licensee, Sharon Oren.
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2021
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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