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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020575
Report Date: 10/16/2023
Date Signed: 10/16/2023 10:23:26 AM

Document Has Been Signed on 10/16/2023 10:23 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ORNELAS FAMILY CHILD CAREFACILITY NUMBER:
198020575
ADMINISTRATOR:GUADALUPE ORNELASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 708-8714
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 0DATE:
10/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Guadalupe Ornelas, Licensee TIME COMPLETED:
10:35 AM
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Licensing Program Analysts (LPA’s) Roxana Lopez and Staicy Perry conducted an unannounced poc (plan of correction) inspection to insured that the 3 Type A's and 3 Type's B deficiencies cited on 9/21/2023 have been cleared. LPA’s met with Guadalupe Ornelas, licensee who guided analysts on a tour of the facility. There were 0 children present during this inspection. The following was observed:

- Accessible areas to the children were free of poisons

- Weapons were in a locked off- limits area

- Kiddy pool was gone- LPA's observed a black iron gate on the right side of the back yard, surrounding the area that the children will use for outdoor play. Appropriate toys were observed, per licensee they are still working on final touches and are will remain inaccessible until it is completely ready for them. Facility sketch has been updated

- Home was observed to be clean and orderly

- Fire Extinguisher was serviced on 9/25/2023 as indicated on the service tag

- Sleep log for infant was complete

- 9224 Acknowledgment form were observed in each child's file

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

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ORNELAS FAMILY CHILD CARE
FACILITY NUMBER: 198020575
VISIT DATE: 10/16/2023
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LPA’s cleared deficiency on this date and provided a copy of the Licensing Report to Guadalupe Ornelas, licensee. 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, Guadalupe Ornelas .

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023
LIC809 (FAS) - (06/04)
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