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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700313
Report Date: 08/13/2024
Date Signed: 08/21/2024 09:23:47 AM

Document Has Been Signed on 08/21/2024 09:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:REYES FAMILY CHILD CAREFACILITY NUMBER:
367700313
ADMINISTRATOR/
DIRECTOR:		MARIA REYESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 508-7496
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Maria Reyes- Licensee TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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 On Tuesday August 13th 2024, Licensing Program Analyst (LPA) Sherell Braddock conducted an unannounced Case Management visit. The LPA met with licensee Maria Reyes to discuss the telephone incident report received from the licensee on 08-08-2024. LPA observed 1 child and 2 staff. Licensee hours of operation are Sunday through Saturday 23 hours a day. LPA obtained a facility roster of the current children in care from the licensee.

LPA and Licensee completed a safety tour of the home at approximately 10:39 a.m. LPA interviewed staff present at the time of the visit.


Based on LPAs observations zero citations were observed or issued today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representative.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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