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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492782
Report Date: 07/30/2024
Date Signed: 07/30/2024 10:59:43 AM

Document Has Been Signed on 07/30/2024 10:59 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/
DIRECTOR:		FIGUEROA, SARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 998-7341
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Sara Figueroa, Licensee TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 07/30/2024, at 9:45 AM, LPA Justeene Tamayo conducted a Case Management inspection and met with licensee Sara Figueroa, to ensure the licensee has received a copy of the Default Decision and Order ordered on 07/25/24 and adopted on 08/05/24 by the Department of Social Services. The licensee stated that she has received a copy of the Default Decision and Order concerning Alexander Ochoa, her adult son. The licensee states he was only residing in the home, and was not planning on working with day care children. Upon arrival, LPA observed 2 preschool, and 4 school age children, along with assistant #1.

Per the Decision and Order, Alexander Ochoa is excluded from employment in, presence in, and from having contact with, clients of any facility licensed by the Department of Social Services. During this inspection, LPA Tamayo did not observe Alexander Ochoa present. Licensee provided LPA Tamayo a declaration of Alexander Ochoa's new residing address.

A copy of this report must be made available to the public for 3 (three) years.

An exit interview was conducted, a copy of this report was provided to licensee,with a copy of her Notice of Site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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