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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215797
Report Date: 09/30/2022
Date Signed: 09/30/2022 04:18:59 PM

Document Has Been Signed on 09/30/2022 04:18 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:PEREZ FCC AKA RIVERPARK CHILD CARE HOMEFACILITY NUMBER:
566215797
ADMINISTRATOR:YULIANA PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 698-1656
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/30/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Yuliana PerezTIME COMPLETED:
04:30 PM
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On September 29, 2022 at 3:49 PM, Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conduct a Case Management-Deficiencies Inspection to follow up on deficiencies cited on 9/21/22. LPA met with licensee, Yuliana Perez and explained the purpose of the inspection. Prior to entering the facility, LPA conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA and Licensee toured the interior and exterior of the home. Licensee and assistant were caring for 6 children at the time of the inspection.

LPA reviewed the plan of correction for completion. Upon LPA's arrival the front door was opened within a short time, there was no delay in opening door. Licensee has corrected the citations issued 9/21/22. Licensee has terminated 6 children from the child care and is now operating within ratio. C1 is now enrolled and has a child file present. Children will now sleep spread out in the bedroom and living room.

LPA cleared and issued a plan of correction letter for citations issued 9/21/22. A copy of this report and plan of correction letters were given to Licensee.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2022
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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