136610537-9-30-2021-20-CC-JARL-C7CS8S-20210930133934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610537
Report Date: 09/30/2021
Date Signed: 09/30/2021 01:39:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	TAPIZ, TAMMY FAMILY CHILD CARE		FACILITY NUMBER:	136610537
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	09/30/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Tammy Tapiz		TIME COMPLETED:	10:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On September 30, 2021 at 9:40 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a capacity increase inspection. Licensee Tammy Tapiz was advised of the meeting’s purpose and she granted LPA facility entry. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present in the home was the Licensee, two (2) infants, one (1) toddler, one (1) school aged child and one helper. One child in care was the Licensee's own child. This four (4) bedroom, three (3) bathroom house was toured and inspected. The daycare operational schedule is weekdays 6 AM to 6 PM. On 09/07/2021, Licensee submitted an application (LIC 279) requesting a capacity increase. The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal on 09/14/2021 for fourteen (14) children. Landlord consent is on file. The off limits areas are the bedrooms and two (2) bathrooms. These rooms are made inaccessible to daycare children with safety gates. The following rooms are used for care: living room, kitchen, dining room, one (1) bedroom and one (1) bathroom. Cabinet sliding locks are on the kitchen cabinet doors. Licensee accompanied LPA on a tour of the home, as shown on the updated facility sketch. Background criminal record clearances were verified and discussed. First Aid and CPR certifications expire in May 2023. Facility has a working 2A10BC fire extinguisher, smoke alarms, and carbon monoxide detector. The last safety drill was on 09/16/2021. Licensee states there are no bodies of water on the premises and none were observed. Per the Licensee, neither weapons nor ammunition are stored on the facility premises.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TAPIZ, TAMMY FAMILY CHILD CARE	FACILITY NUMBER: 136610537
	VISIT DATE: 09/30/2021

NARRATIVE

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In the areas that were evaluated, no deficiencies were observed. Licensure for a capacity of fourteen (14) of children is approved effective today 09/30/2021. A new license will be generated and mailed to the provider.

LPA provided the Licensee with the Notice of Site Visit – LIC 9213, which is to be posted for thirty (30) days. An exit interview was conducted with the Licensee. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to the Licensee and their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

LIC809 (FAS) - (06/04)

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