<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609404
Report Date: 05/21/2024
Date Signed: 05/21/2024 12:22:08 PM

Document Has Been Signed on 05/21/2024 12:22 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RUIZ-CHAVARIN FAMILY CHILD CAREFACILITY NUMBER:
191609404
ADMINISTRATOR/
DIRECTOR:		CONCEPCION RUIZ CH.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 406-2106
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
05/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Concepcion Ruiz-Chavarin TIME VISIT/
INSPECTION COMPLETED:
12:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 THIS INSPECTION WAS CONDUCTED IN SPANISH

Licensing Program Analysts (LPAs) Susann Sanchez and Ashley Calderon conducted an unannounced visit for the purpose of the increased monitoring plan as determined on the Non-Compliance Conference held on 02/21/24. Licensee provided a tour of the facility. There were two children present upon LPAs' arrival. The facility was in compliance with capacity requirements for a large family child care home.

LPAs toured the whole facility and all "off limit" areas where locked and inaccessible to children. LPAs observed one infant and one child sleeping on limits living room area. LPA reminded Licensee to document in sleeping log and the LIC 9227 Individual Infant Sleeping Plan. No deficiencies cited today.

Exit interview was conducted with the Licensee, Concepcion Ruiz-Chavarin . A signature was obtained for this report. Licensee was provided a copy of this report. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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 1