<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014759
Report Date: 04/26/2023
Date Signed: 04/26/2023 11:08:07 AM

Document Has Been Signed on 04/26/2023 11:08 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
198014759
ADMINISTRATOR:GARCIA, CARLOTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 764-4376
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/26/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Licensee Carlota GarciaTIME COMPLETED:
11:10 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An office conference was conducted on this date to discuss the Stipulation and Waiver, and Order. Present during today's office conference were Regional Manager, Scott Herring, Licensing Program Manager, Mariela Ramon, Licensing Program Analyst, Justin Dorsey, Licensee, Carlota Garcia, Henry S. Garcia, Licensee’s son, Licensee’s Attorney, Janice Mendel and Patricia E. Chavez, Spanish interpreter.

Regional Manager, Scott Herring, discussed during the office conference the conditions set forth in the Stipulation and Waiver; and Order agreed on dated 03/27/23 and ordered to be effective until 03/26/25. Licensee agrees to a two-year probation of her license. The probation shall commence on 03/27/23 and shall continue through 03/26/25 which time licensee shall be granted a probationary license subject to the following terms and conditions.

The Probation conditions are as follows:

A. Respondent Carlota shall operate the facility in strict compliance with the regulations and statutes governing the operation of a family childcare home.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198014759
VISIT DATE: 04/26/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
B. During the period of probation, the Department in its sole discretion may conduct unannounced site visits for the purpose of determining whether there is full compliance with the regulations and statutes governing the operation of a family child care home.

C. Respondent Carlota shall attend an informal conference with the Palmdale Regional Office within ninety days from the effective date of this Stipulation, described below. Licensee effectively attended the informal conference as of todays date.

D. Respondent Carlota shall ensure that all individuals working, residing, or volunteering in the facility shall obtain criminal record clearances or exemptions prior to their initial presence in the facility and shall maintain proof of such criminal record clearances or exemptions at the facility.

E. This Stipulation shall be posted in a conspicuous place at the facility for the duration of the probationary period.



F. For the duration of the probationary period, Respondent Carlota shall inform all current and prospective parents of children in the facility of the facility's probationary license by providing to the parents a copy of this Stipulation and the attached Accusation. Parents shall sign an acknowledgment indicating they have received a copy of the Stipulation and the attached Accusation. This parental acknowledgement shall be maintained in the corresponding child's file and shall be made available to the Department upon request.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198014759
VISIT DATE: 04/26/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
G. Within 120 days of today's date, Respondent Carlota shall complete training, education or counseling as follows: training regarding the personal rights of children. Appropriate training courses shall be identical or similar to: Behavior Management for School-Age Children course provided by Smart Horizons. Respondent Carlota may contact the Palmdale Regional Office should she have questions regarding the training, education, or counseling as described here in this Paragraph 2(G). The training must be completed no later than August 9, 2023. A copy of the training completion shall be submitted to Licensing Program Analyst, Justin Dorsey.

H. Within 2 weeks of completion of the training, education or counseling described in Paragraph 2(G), above, Respondent Carlota shall submit to the Palmdale Regional Office documentation of completion.



Licensee and Licensee’s attorney stated they understand the terms discussed.

A copy of this report must be made available to the public, upon their request, for the next two years.

An exit interview was conducted, and a copy of this report was provided to licensee.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3