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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416651
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:42:11 PM

Document Has Been Signed on 08/01/2024 02:42 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:AMANECER/CA CHILDREN'S ACADEMYFACILITY NUMBER:
197416651
ADMINISTRATOR/
DIRECTOR:		JACQUELINE M ESCOBARFACILITY TYPE:
850
ADDRESS:623 N. HAGER STREETTELEPHONE:
(323) 223-3313
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 27DATE:
08/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Auro Osoy, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
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On Thursday, August 1, 2024, at 11:45 am Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced Case Management incident inspection to follow up on an Incident Report dated 7/25/24.

During this visit, LPA Rivera interviewed director and 2 staff. Based on the interviews there is no evidence of personal rights violation and reporting requirements were met. No Title 22 or Health and Safety violations occurred; therefore, no deficiencies were given during this in visit.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report and appeal rights were reviewed with the director Aura Osoy.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
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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