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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495103
Report Date: 06/02/2022
Date Signed: 06/03/2022 09:24:44 AM

Document Has Been Signed on 06/03/2022 09:24 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
197495103
ADMINISTRATOR:IRMA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 841-0852
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
06/02/2022
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Irma CastilloTIME COMPLETED:
02:00 PM
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On 6/2/2022, Licensing Program Analyst Judy Laureano arrived at this facility for the purpose of conducting a collateral visit and fact finding purposes. LPA met with licensee, Irma Castillo. Inspection was conducted in Spanish.

LPA observed 8 children napping which includes a 10 year old child and 6 year old.

An exit interview was conducted with Licensee and a copy of this report was provided.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
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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