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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400336
Report Date: 02/16/2022
Date Signed: 02/16/2022 01:46:02 PM

Document Has Been Signed on 02/16/2022 01:46 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ORDAZ FAMILY CHILD CAREFACILITY NUMBER:
198400336
ADMINISTRATOR:ORDAZ, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 484-9865
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
02/16/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Diana Ordaz, LicenseeTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced plan of correction visit to the above facility. The purpose of this visit was to follow up on cited deficiencies and ensure these deficiencies were corrected in a timely manner. LPA met with Diana Ordaz, Licensee, who guided analyst on a tour of the facility. There were 3 children present including an infant.

An annual inspection was conducted on 2/4/22. The facility was cited for the following and the licensee was advised that corrections were required for the health and safety of children in care:

Safe Sleep- infant was sleeping in car seat
CORRECTED - Licensee provided written plan on how they will comply with the Safe Sleep Regulations. LPA observed Child #1 sitting on the floor and a play yard available for sleeping.

Child's Records- Licensee did not have record for Child #1 & #2. LPA reviewed children's files and found them to be complete.

LPA observed that the plan of corrections have been met for all deficiencies. Licensee provided
Licensee was reminded to visit our website www.cdss.ca.gov to stay informed with any new Provider Notices.
No deficiencies were cited on this date.
An exit interview was conducted with Licensee, Diana Ordaz. including but not limited to provider rights and Agency's Consultative Role.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2022
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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