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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007809
Report Date: 11/21/2023
Date Signed: 11/21/2023 01:43:29 PM

Document Has Been Signed on 11/21/2023 01:43 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:CARDENAS FAMILY CHILD CAREFACILITY NUMBER:
198007809
ADMINISTRATOR:CARDENAS, I.,L.& O.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 362-8807
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
11/21/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Irma & Leticia CardenasTIME COMPLETED:
01:50 PM
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On 11/21/2023, Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure the deficiencies cited on 10/19/2023 have been cleared. A COVID risk assessment was conducted. LPA met with Licensees, Irma & Leticia Cardenas, and LPA observed 3 children present at the facility during this inspection. During the visit LPA provided Licensee, Leticia with a application so that she can update information.

LPA reviewed mandated reporting certificate which was completed by the Licensee, Irma expiring 10/24/2025 but is still needed for Licensee, Leticia. Licensee will be completing and emailing a copy to LPA by 11/27/2023.

LPA reviewed the CPR/First Aid for both Licensees, Irma & Leticia which included the EMSA sticker which will expire 11/2025.

LPA reviewed the Emergency Drill which was last documented October, 2023.

LPA reviewed the 15-minute sleep log for children who are 24 months and younger and found that Licensees is documenting.

LPA cleared the deficiencies on this date and issued a POC clearance letters during this visit and provided a copy to the Licensees.

At this time, the facility 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.



Exit interview conducted and report was reviewed with the Licensee, Leticia Cardenas.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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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