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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492782
Report Date: 09/05/2023
Date Signed: 09/05/2023 09:33:54 AM

Document Has Been Signed on 09/05/2023 09:33 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:FIGUEROA FAMILY CHILD CAREFACILITY NUMBER:
197492782
ADMINISTRATOR:FIGUEROA, SARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 998-7341
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/05/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Sara FigueroaTIME COMPLETED:
09:50 AM
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On 9/5/2023, the Licensing Program Analyst (LPA) Carol Heath conducted a Case Management – Heath and safety Inspection. When LPA Heath arrived at the facility, the licensee’s husband was outside fixing the floor. LPA announced the purpose of the visit and asked if the husband felt conformable to show LPA the facility (off-limit areas). The husband said he would call the licensee. The licensee, Sara Figueroa was not in the facility to drop off the school age children. The purpose of the inspection was to ensure that the home meets Licensing Title 22. The licensee’s adult son is no longer associated with the facility due to the exemption Denial.
There are 6 children with licensee, licensee’s husband, and the assistant.
During the time of this inspection, LPA toured the home both inside and outside. The following was observed during the time of the inspection.
This is a two-story house with 6 bedrooms and 3 bathrooms with a kitchen/dining area, formal dining room, living room, laundry room, family room, and garage. The garage is used for storage, and no childcare activities are conducted there. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. LPA observed the Off-limit areas include the home's entire gated upstairs (4 bedrooms, 2 bathrooms), downstairs bedroom (roommate), kitchen (gated on both sides), laundry room (child-locked), and garage. LPA observed 3 empty bedrooms (son’s bedroom and 2 kid’s bedrooms). The son’s room only has few things left. The licensee will make that room as her office. 2 kids’ bedroom’s closet still have several items (toys and clothes). The son’s 2 children (4 yrs. and 7 yrs) still attend the facility.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: FIGUEROA FAMILY CHILD CARE
FACILITY NUMBER: 197492782
VISIT DATE: 09/05/2023
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The licensee signed the Declaration and provided her son’s address, and phone number for LPA to verify her son's information.

No deficiency was cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.

Exit interview conducted and report was reviewed with the licensee, Sara Figueroa.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
LIC809 (FAS) - (06/04)
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