<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844539
Report Date: 09/14/2022
Date Signed: 09/14/2022 12:10:11 PM

Document Has Been Signed on 09/14/2022 12:10 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
364844539
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
09/14/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Licensee Deborah Garcia TIME COMPLETED:
12:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 9/14/22 at 11:45am Licensing Program Analyst (LPA) Zirbes completed an unannounced Plan of Correction (POC) inspection. The purpose of the inspection was to ensure the deficiency cited on 9/13/22 was corrected. LPA met with Licensee Deborah Garcia who provided access to the family child care. Present at the time of the inspection was the Licensee and six children.

During the inspection, LPA completed tour of the backyard to ensure the in ground pool met all regulations. LPA observed the in ground was surrounded by a 5’ removable mesh fence that is mounted into concrete. The gate opens away from the pool. During the inspection, LPA opened the gate and verified the gate is self closing and self latches. LPA also ensured all fence poles are secured into the concrete. There are no items around the perimeter of the fence that would allow the fence to be climbable. The licensee understands and agrees that the fence will remain in place whenever licensed care is provided. Based on LPA observation the pool meets the regulations at this time.

Exit interview conducted and report was reviewed with the licensee Deborah Garcia.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1