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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423597
Report Date: 08/25/2021
Date Signed: 08/25/2021 12:47:08 PM

Document Has Been Signed on 08/25/2021 12:47 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:DESERIO, IRISFACILITY NUMBER:
013423597
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/25/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Iris DeserioTIME COMPLETED:
01:30 PM
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On 08/25/2021, Licensing Program Analyst (LPA) Brittany Newton conducted an unannounced visit for the purpose of initiating a change of capacity for the above facility. LPA was met by Iris Deserio and John Deserio. Present for the inspection was 0 children.
LPA toured the entire facility with the licensee.
The home is a two story home. The on limit areas of the home is the entire downstairs except for the kitchen and the laundry room off the kitchen. The outdoor play area is also on limits. The entire upstairs is off limits.
There is a bathroom available near the outdoor play area. Living room area is set up for day care. LPA observed ample age appropriate toys and furnishings available. Outdoor play area was inspected. There is a shaded area available for children. Play structures were observed safe for the use of children. Facility provides two snacks and children bring their own lunch. Drinking water is available.
Facility has been conducting fire drills with the last one being 05/25/21. CPR and First Aid is current for the licensee, expiring 07/2022. Preventative health training for the licensee is complete. Facility has a child care roster and has been maintaining files.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

APPROVAL OF INCREASE:

LPA has determined the facility has met all requirements to proceed with an increase in capacity. The facility may now operate in the capacity of a Large Family Child Care home, effective immediately. A new license will be mailed.

Exit interview conducted, appeal rights provided and a copy of this report was left with Iris Deserio. Notice of site visit given and facility is reminded is must remain posted for 30 days.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Newton
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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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