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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009987
Report Date: 02/28/2024
Date Signed: 02/28/2024 09:09:48 AM

Document Has Been Signed on 02/28/2024 09:09 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:REYNAGA FAMILY CHILD CAREFACILITY NUMBER:
198009987
ADMINISTRATOR:REYNAGA, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 722-1329
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rosa Reynaga, LicenseeTIME COMPLETED:
09:20 AM
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On February 28, 2024 Licensing Program Analysts (LPA’s) Monique Ayala and Saul Valenzuela met with licensee, Rosa Reynaga for the purpose to conduct a Case Management inspection. Upon arrival LPA’s observed 7 children in care, with 3 staff providing care and supervision.

The purpose of the inspection is to conduct a health and welfare check to ensure the health and safety of the children in care is met.

A tour of the facility was conducted. The facility is operating within proper capacity and ratios.

No deficiencies were observed at the time of the visit.

An exit interview was conducted, and a copy of this report was read and provided to Licensee along with Notice of Site Visit.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
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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