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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018718
Report Date: 11/23/2021
Date Signed: 11/23/2021 10:00:28 AM

Document Has Been Signed on 11/23/2021 10:00 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SAPIENS FAMILY CHILD CAREFACILITY NUMBER:
198018718
ADMINISTRATOR:RAMONA & ROSARIO SAPIENSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
5624891750
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 3DATE:
11/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ramona Sapiens, LicenseeTIME COMPLETED:
10:10 AM
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About 9:00 AM, Licensing Program Analyst (LPA) T. Tran arrived at the above licensed facility to conduct an unannounced Case Management inspection for the purposed of increased monitoring. Upon arrival, LPA met licensee with three schoolage children in care.

The LPA inspected the facility to ensure the health and safety requirements are being met that was discussed during the noncompliance conference on 01/29/2021. LPA did not observed any infants in care and no highchair in the home.

About 9:25AM, LPA completed children's file review. Licensee has current CPR and First Aid expires on March, 2022. Licensee provided LPA an updated LIC279 - Ages to be Served 3 to 12 years old; Monday-Friday 24hours.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Ramona Sapiens.





SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/23/2021
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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