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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409052
Report Date: 07/31/2020
Date Signed: 07/31/2020 02:19:18 PM

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:PLAZA, CECILIAFACILITY NUMBER:
073409052
ADMINISTRATOR:CECILIA PLAZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 978-3980
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:14CENSUS: 0DATE:
07/31/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cecilia PlazaTIME COMPLETED:
02:30 PM
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On 07/31/2020, Licensing Program Analyst (LPA) Melissa Guirit met with licensee, Cecilia Plaza, for an ANNOUNCED CASE MANAGEMENT - LICENSEE INITIATED TELE-INSPECTION via Zoom. Present for today's tele-inspection was licensee. Licensee requested from LPA an approval for having a hot tub in the backyard area. A virtual inspection was conducted and licensee was given a tour of the area of the backyard with the hit tub. The area where the hot tub and fire pit was placed was sectioned off completely from the rest of the backyard play area by creating a fenced patio that is inaccessible to children in care. Per licensee, the area will be placed off limits and will remain locked during day care hours. The hot tub and fire pit also have a cover that has a lock in place.

Area has been approved by LPA. This report shall remain on file for 3 years. Exit interview conducted and appeal rights provided to licensee.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2020
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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