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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412740
Report Date: 08/18/2023
Date Signed: 08/18/2023 12:18:51 PM

Document Has Been Signed on 08/18/2023 12:18 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SHEPHERD FAMILY CHILD CAREFACILITY NUMBER:
197412740
ADMINISTRATOR:SHEPHERD, DARNISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 718-2652
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
08/18/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:59 AM
MET WITH:Darnisha Shepherd,LicenseeTIME COMPLETED:
12:30 PM
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On 08/18/23, Licensing Program Analysts (LPAs) Justeene Tamayo and Evelyn Garcia conducted a Case Management inspection to verify the license facility capacity and ratio are within compliance. LPAs met with licensee Darnisha Shepherd and toured the day care areas of the home. Upon arrival, LPAs observed, 3 infants and 8 preschool children being cared for by licensee's assistant #1 and assistant #2 and the licensee. The facility was observed to be in capacity and ratio compliance.

No deficiencies are being cited at this time. A Plan of Correction Letter for the Type A deficiency from the visit on 08/15/23 has been provided to the licensee.

An exit interview was conducted, and a copy of this report and a Notice of Site Visit was provided to the licensee, along with her appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
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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