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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020316
Report Date: 07/30/2024
Date Signed: 07/30/2024 12:25:27 PM

Document Has Been Signed on 07/30/2024 12:25 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:FLORES FAMILY CHILD CAREFACILITY NUMBER:
198020316
ADMINISTRATOR/
DIRECTOR:		CYNTHIA FLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 347-0133
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 11DATE:
07/30/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Licensee, Cynthia FloresTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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Licensing Program Analysts (LPA’s) Roxana Lopez and Saul Valenzuela conducted an unannounced poc (plan of correction) inspection to insured that the Type A deficiency cited on 07/19/2024 has been cleared. LPA’s met with Cynthia Flores, licensee who guided analysts on a tour of the facility. There were 11 children present during this inspection. The following was observed:

- The pool gate was observed to closed making inaccessible to children in care.

- The LIC 9224 Acknowledgement form was observed to in children's files reviewed.

- LPAs obtained a declaration on pool supervision and plan on keeping gate closed at all times.

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

LPA’s cleared deficiency on this date and LPA’s 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, Cynthia Flores.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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