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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197700746
Report Date:
09/19/2024
Date Signed:
09/19/2024 12:05:01 PM
Document Has Been Signed on
09/19/2024 12:05 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 CHILD CARE
,
39115 TRADE CENTER DR STE. 201
PALMDALE
,
CA
93551
FACILITY NAME:
ABARCA FAMILY CHILD CARE
FACILITY NUMBER:
197700746
ADMINISTRATOR/
DIRECTOR:
REYNA ABARCA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(818) 359-2118
CITY:
ARLETA
STATE:
CA
ZIP CODE:
91331
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
5
DATE:
09/19/2024
TYPE OF VISIT:
Case Management - Annual Continuation
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
11:59 AM
MET WITH:
Reyna Abarca, Licensee
TIME VISIT/
INSPECTION COMPLETED:
12:05 PM
NARRATIVE
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Final printed Tool Inspection Report -
SUPERVISORS NAME
:
Lady King
LICENSING EVALUATOR NAME
:
Isabel Ortega
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/19/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/19/2024
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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