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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400612
Report Date: 05/21/2024
Date Signed: 05/21/2024 09:21:16 PM

Document Has Been Signed on 05/21/2024 09:21 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PINEDA FAMILY CHILD CAREFACILITY NUMBER:
198400612
ADMINISTRATOR/
DIRECTOR:		E. PINEDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 427-4022
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/21/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:Erica PinedaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analysts (LPAs) Susann Sanchez and Ashley Calderon conducted a case management- legal/non-compliance. The purpose of the this visit is to ensure the facility is not operating and that the Licensee has a copy of the "Decision and Order."

At 10:35am, Erica Pineda let LPAs in through the side back door. From LPAs point of view, LPAs did not observe or hear any children. Per Erica Pineda, it has been a month since the facility had children in care. Erica Pineda stated that she received the "Decision and Order" by certified mail. At 10:42am, Erica Pineda asked LPAs to leave.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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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