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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020716
Report Date: 06/15/2023
Date Signed: 06/15/2023 11:32:54 AM

Document Has Been Signed on 06/15/2023 11:32 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:HAPPY CAMPERS CHILDREN CENTERFACILITY NUMBER:
198020716
ADMINISTRATOR:YU-SHU (CINDY) CHENGFACILITY TYPE:
850
ADDRESS:14035 FRANCISQUITO AVETELEPHONE:
(562) 699-4991
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 76TOTAL ENROLLED CHILDREN: 20CENSUS: 13DATE:
06/15/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director Yu Cheng (Jenny TIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection to insured that the Type A and Type B deficiency cited on 5/28/2023 have been cleared. LPA met with Director Jenny, who guided analyst on a tour of the facility. Census was taken

The following was observed:

- LPA observed that staff # 1 fingerprints are still in process- Staff was not present. Director understands that staff can't return until fingerprints are cleared.

- LPA observed the LIC 9224 Acknowledgment form signed and in children's file.

- LPA was let into the facility upon arrival and obtained meeting minutes from staff meeting regarding Licensing visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

LPA advised the licensee how to access froms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiencies on this date. LPA issued POC clearance letter during the visit.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with facility representative Yu Cheng.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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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