Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370568
Report Date: 12/04/2018
Date Signed: 12/04/2018 10:11:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:COLLEEN'S CUDDLE BUGS CHILD CAREFACILITY NUMBER:
304370568
ADMINISTRATOR:DURAN, COLLEENFACILITY TYPE:
830
ADDRESS:2100 EAST LAMBERT ROADTELEPHONE:
(562) 266-1300
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:10CENSUS: 8DATE:
12/04/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Colleen Duran TIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Jacqueline Moore met with Licensee/ Director, Colleen Duran to deliver the inspection and investigation reports from previous investigation and inspection completed and conducted at the facility on 11/30/18, LPA was unable to leave the inspection and investigation reports to the facility on 11/30/18 due to issues with the computer.
LPA observed the infant classroom and infant play yard. Census was taken as followed: 4 infants being supervised by one staff member inside of the infant room and four infants in the outside play yard area being supervised by one staff member. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

No deficiency observed.

An exit interview was conducted with the Licensee/ Director. Report was reviewed and discussed.

The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The first level appeal is to regional manager, address is above on the report. The Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. This report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2018
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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