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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016024
Report Date: 07/22/2022
Date Signed: 07/25/2022 12:22:52 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/25/2022 12:22 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:ORE FAMILY CHILD CAREFACILITY NUMBER:
198016024
ADMINISTRATOR:ORE, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 476-0510
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
07/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Carmen OreTIME COMPLETED:
05:15 PM
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On 7/22/2022, Licensing Program Analyst, Carolyn Tuba met Carmen Ore and conducted annual inspection visit. Covid Assessment was conducted and no risk was found. The FAS LIC 809 was completed and the Care Tool and the computer went into a consistency check, which caused the 809 document to disappear from FAS. A written LIC 809 noted the Type B and 3 Technical Violations. Interview questions needed to be conducted by phone on 7/25/2022 and the original FAS LIC 809 report was recovered. During the visit, not noted on the original 809 report is that she currently has 2 pets: a bird and a hamster that were located in the backyard inaccessible to the children in care. Licensee serves Breakfast, AM and PM Snacks, Lunch and Dinnerand she is part of a food program. A copy this LIC 809 and the original is being mailed to the licensee on 7/25/2022 regular mail. The original signatures are on file and she received Appeal Rights and a Notice of Site Visit.

Ore Family Child Care #198016024.pdfOre Family Child Care #198016024.pdf
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2022
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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