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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700194
Report Date: 05/18/2023
Date Signed: 05/18/2023 01:25:07 PM

Document Has Been Signed on 05/18/2023 01:25 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:OCHOA, STEPHANIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
197700194
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
05/18/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Stephanie OchoaTIME COMPLETED:
01:39 PM
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On 05/18/23 Licensing Program Analyst (LPA) Justin Dorsey conducted an inspection at Ochoa FCC. The purpose of the inspection was a Plan of Correction visit to review the deficiency cited on 04/20/23. LPA met with Licensee and observed the facility.

The following was observed:
1.) During the visit LPA Dorsey observed the home was within ratio with 5 children (3 infants and 2 preschool age children)

Exit interview conducted a copy of this report, Notice of Site Inspection and Deficiency Clearance Letter was left with Licensee Stephanie Ochoa.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2023
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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