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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700429
Report Date: 08/06/2021
Date Signed: 08/06/2021 03:17:54 PM

Document Has Been Signed on 08/06/2021 03:17 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:CORONA FAMILY CHILD CAREFACILITY NUMBER:
197700429
ADMINISTRATOR:SINDY CORONAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 382-1385
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
08/06/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Sindy CoronaTIME COMPLETED:
03:32 PM
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On 08/06/21 Licensing Program Analyst (LPA) Justin Dorsey conducted an Inspection at Corona Family Child Care. The purpose of the inspection was a Plan of Correction to review the deficiencies cited on 07/27/21. LPA Dorsey met with Licensee Sindy Corona and toured the facility.

The following was observed:
1.) LPA Dorsey observed the home to be in ratio. LPA Dorsey also observed the homes child and assistant sign in sheet and observed the home to be in ratio since the home was cited 07/27/21

Exit interview conducted a copy of this report, Notice of Site Inspection and Deficiency Clearance Letter was left with Licensee Sindy Corona.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2021
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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