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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014998
Report Date: 10/03/2022
Date Signed: 10/03/2022 09:38:43 AM

Document Has Been Signed on 10/03/2022 09:38 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:TATE FAMILY CHILD CAREFACILITY NUMBER:
198014998
ADMINISTRATOR:TATE, YULANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 764-1411
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Yulunda TateTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management-Other inspection on this date. LPA met with Licensee, Yulunda Tate. There were no children present during this inspection.

The purpose of this inspection was to obtain a copy of the facility roster. Per Licensee, there are 8 children currently enrolled who attend at various times.

LPA obtained the facility roster.

Exit interview conducted with Licensee, Yulunda Tate.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2022
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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