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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153806029
Report Date: 07/22/2022
Date Signed: 07/25/2022 05:14:55 AM

Document Has Been Signed on 07/25/2022 05:14 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:PARRA FAMILY CHILD CAREFACILITY NUMBER:
153806029
ADMINISTRATOR:PARRA, ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 489-2945
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:17 PM
MET WITH:Elvira ParraTIME COMPLETED:
03:19 PM
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 On 07/22/2022, at 12:21 p.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced inspection at the Facility to follow up on an unannounced annual inspection conducted at the Family Child Care Home on 07/19/2022 to assess the Facility operation of their program and current physical plant status in which no one answered the door or the listed phone number.

On today's date the LPA met with Licensee, Elvira Parra. The LPA explained that the reason for the inspection as stated above. Licensee stated aplohized for not being home the other day. She stated tht the facikity has been in an active status for the past year or more, and will not provide child care services for the next few months, that she notified the Department in the past month about the situation, but has not been able to follow up because her English is very limited and lacks of social media understanding. She said, she notified the Department via phone calls. At this time she is not providig child care services because she has family issues to care for and does not have a qualified assistant to help her. Also, the backyard for the Facility is being used by her adult son to store car parts and other items that may create a hazard to children. However, that area is off limits.

Licensee stated that, at this time, she does not want to give up on caring for children and wants to keep the Child Care license, so she wishes to retain her license in an Inactive status. The LPA explained that such request shall be done in an official letter or LIC 624 (unusual Incident Report form) along with LIC 9211, Request for Inactive Child Care License Status. The LPA provided a blank copy of LIC 9211 and was complete by Licensee. The facility will be put on Inactive Status until 01/30/23. Nonetheless, a tour of the entire facility was conducted. The facility was noted clean safe, orderly and sanitary. There were no children present and no files were reviewed, for the facility has been, informally, inactive since 07/23/19.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PARRA FAMILY CHILD CARE
FACILITY NUMBER: 153806029
VISIT DATE: 07/22/2022
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The License and all other require publications are posted, The Smoke alarm, Fire Extinguisher and Carbon Monoxide alert system are fully operational, and the home has a working phone number. The first aid kit is complete. There were no deficiencies noted during the inspection.

Copy of this report, Request for Inactive Child Care License Status (9211) and Notice of Site Visit ((LIC 9213) were provided to licensee.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
LIC809 (FAS) - (06/04)
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