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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016763
Report Date: 03/22/2023
Date Signed: 03/22/2023 09:31:25 AM

Document Has Been Signed on 03/22/2023 09:31 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PARRA FAMILY CHILD CAREFACILITY NUMBER:
198016763
ADMINISTRATOR:PARRA, ESPERANZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 273-5308
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee, Esperanza ParraTIME COMPLETED:
09:40 AM
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Licensing Program Analyst (LPA) Lilli Babcock conducted a Case Management visit on 3/22/23 as licensee has requested to be on inactive status. A COVID risk assessment was conducted upon entry and appropriate PPE was used by LPA. LPA met with Licensee, Esperanza Parra, to whom the reason for the visit was explained. LPA observed there were no children present at the facility during this visit.

Licensee states she is not currently caring for children and would like to be placed on inactive status beginning today, 3/22/23, and ending on 3/22/24.

Licensee is aware that if she begins caring for children before the inactive end date, she must notify the Department prior to caring for children, and the facility will need an inspection by the Department prior to caring for children.

Licensee is also aware that annual fees must remain current during the inactive period.

Licensee filled out and submitted an LIC 9211 to LPA during the visit.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Esperanza Parra.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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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