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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020575
Report Date: 04/12/2024
Date Signed: 04/12/2024 10:09:19 AM

Document Has Been Signed on 04/12/2024 10:09 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/
DIRECTOR:		GUADALUPE ORNELASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 708-8714
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 2DATE:
04/12/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Licensee, Guadalupe Ornelas TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analysts (LPA’s) Roxana Lopez and Priscilla Ochoa conducted an unannounced poc (plan of correction) inspection to insured that the Type A (1) and Type B (1) deficiencies cited on 04/02/2024 have been cleared. LPA’s met with Guadalupe Ornelas, licensee who guided analysts on a tour of the facility. There were 2 children present during this inspection, 1 being an infant. Licensee, updated sleep log during visit.

The following was observed:

- Accessible areas to the children were free of poisons and cleaning supplies

- Home was observed to be clean and orderly

- 9224 acknowledgment forms were on file

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

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--- pg. 1 of 1 ---

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024
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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