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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210509
Report Date: 05/22/2024
Date Signed: 05/22/2024 06:42:07 PM

Document Has Been Signed on 05/22/2024 06:42 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:PANIAGUA FAMILY CHILD CAREFACILITY NUMBER:
566210509
ADMINISTRATOR/
DIRECTOR:		FIDELIA PANIAGUAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 483-3546
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/22/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On May 22, 2024 at 9:00AM Licensing Program Analyst (LPA) conducted a Collateral visit to the Oxnard Police Department to obtain Police Records for the incident that occurred on May 10, 2024 at 7:00AM.

LPA met with Martha Jimenez, Records Technician. LPA provided a subpoena requesting records for Case Number 24-32466. Technician was not able to provide LPA with a copy of the Police Report. Records Technician informed LPA that a copy will be sent to the fax number on the subpoena once obtained.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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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