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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700230
Report Date: 07/22/2022
Date Signed: 07/22/2022 03:54:41 PM

Document Has Been Signed on 07/22/2022 03:54 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:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
367700230
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Maria RodriquezTIME COMPLETED:
04:10 PM
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On 07/22/2022, Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced case management inspection. The purpose of the inspection is to inspect the facility new in ground swimming pool and ensure that swimming pool fence meets Title 22 Regulations. Upon arrival LPA was greeted by licensee MARIA RODRIGUEZ and observed no children in care.

LPA observed a fence measuring over 5 feet high, the gate opens away from the swimming pool, self-latches, and self closes. LPA did not observe any toys or chairs that could be a climbing aid to children in care.

The swimming pool meets Title 22 Regulations. The facility is in compliance and there are no deficiencies being cited on today’s inspection.

Licensee provided an updated facility sketch which reflected Bedroom #2 is utilize for family childcare and off-limit of the home are Bedroom # 1, #3 , #4 bathroom #2 and kitchen. The play ground also have new fence for safety.

An exit interview was conducted and copy of this report along with Notice of Site Visit was provided to the licensee.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2022
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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