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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700035
Report Date: 10/11/2022
Date Signed: 10/12/2022 05:40:25 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/12/2022 05:40 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:PERRY FAMILY CHILD CAREFACILITY NUMBER:
367700035
ADMINISTRATOR:PERRY, AHJENAEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 267-4087
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
10/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:PERRY AHJENAETIME COMPLETED:
01:51 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye met with licensee PERRY AHJENAH at the entrance drive through. The purpose of the inspection is to conduct 1 year Required Annual Inspection. Licensee Stated she have to pick up and drop off day-care children and and she won't be back at the facility between 3:30 pm to 4:00 pm. LPA will Reschedule the visit at another time.

Exit

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2022
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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