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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005363
Report Date: 09/08/2022
Date Signed: 09/08/2022 03:43:52 PM

Document Has Been Signed on 09/08/2022 03:43 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ORTEGA FAMILY CHILD CAREFACILITY NUMBER:
198005363
ADMINISTRATOR:ORTEGA, RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 665-4149
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
09/08/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Licensee, Raquel Ortega TIME COMPLETED:
03:55 PM
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Licensing Program Analysts (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection or case to insured that the Technical Violations and Type B deficiency cited on 8/26/2022 have been cleared. LPA met with Raquel Ortega, licensee who guided analysts on a tour of the facility. There were 14 children present during this inspection 3 being infants.

The following was observed:
- LPA observed a safety gate in the hallway making the wall heater inaccessible
- AB1207 certificate on file
- Updated CPR for both Licensee and Assistant: expires 8/27/2022

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov

LPA cleared deficiency on this date and provided a copy of the Licensing Report to Raquel Ortega, licensee. LPA issued POC clearance letter during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Raquel Ortega.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2022
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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