Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409910
Report Date: 04/15/2016
Date Signed 04/15/2016 12:09:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:CASTANEDA FAMILY CHILD CAREFACILITY NUMBER:
197409910
ADMINISTRATOR:CASTANEDA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 255-2459
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:14CENSUS: 4DATE:
04/15/2016
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Maria CastanedaTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA), Silva Garibyan conducted a Plan of Correction visit (POC). The licensee and four children ( one infant) were present at the time of the visit. During a site inspection on 03/9/16, the following deficiencies were cited:

1) LPA observed cleaning chemicals and knives accessible in the kitchen
2) LPA did not observe the Parent's Rights poster to be posted in a prominent area of the home
3) Licensee could not produce file for 1 child in care

ALL DEFICIENCIES HAVE BEEN CORRECTED.

1) Licensee has placed new latches in kitchen to make hazardous item inaccessible to the children in care.
2) Licensee has the following documents posted in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) , Child Care Facility Roster (LIC9040), Emergency Disaster Plan (LIC610a).
3) LPA reviewed children's files for completeness. Children's files are complete and LIC 9224 signed and placed in the files
At the time of this visit the facility was found to be in substantial compliance.
Exit interview was conducted and a copy of the report was provided to the licensee.


SUPERVISOR'S NAME: Mary RuizTELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (310) 337-3754
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2016
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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