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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700199
Report Date: 05/05/2021
Date Signed: 05/05/2021 02:56:48 PM

Document Has Been Signed on 05/05/2021 02:56 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:STYLES FAMILY CHILD CAREFACILITY NUMBER:
367700199
ADMINISTRATOR:DONNA STYLESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 240-9818
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Donna Styles LicenseeTIME COMPLETED:
03:02 PM
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Licensing Program Manager (LPM) Mariela Ramon and Licensing Program Analyst (LPA) Steven Montoya held an virtual Informal Conference with Licensee Donna Styles. Due to COVID-19, the meeting was conducted via Zoom.

The purpose of the meeting is to discuss the licensee’s (former license #364841742) in which a Stipulation/Waiver and Order was served on 02/19/2019.

LPM Ramon addressed the importance of maintaining the facility in substantial compliance and explained the specific terms, compliance of all laws, and regulations which apply to the above discussion. Licensee was advised, a safe environment for children must always be provided and all incidents must be reported.

Licensee understands the terms of the Stipulation and Order and agrees will maintain compliance with all licensing rules and regulations.

An exit interview was conducted, report was read, and a copy of this report was forwarded to the licensee via email.

For confirmation with “Read Receipt” from Licensee on this date, as directed by current Covid-19 procedures.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2021
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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