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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494224
Report Date: 08/15/2019
Date Signed: 08/15/2019 09:30:16 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:DIAZ & DIAZ FAMILY CHILD CAREFACILITY NUMBER:
197494224
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
08/15/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Lisa Diaz, Licensee and Socorra Diaz, Co- Licensee TIME COMPLETED:
09:30 AM
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On 8/15/2019 at 7:30am Licensing Program Analyst (LPA), Denise Do Amaral Miranda conducted an unannounced case management inspection to the facility to ensure the health and safety standards as required governing California family child care homes. LPA met Lisa Diaz, Licensee and Socora Diaz, co-licensee and discussed the reason of the visit. Co-licensee guided LPA on a tour (inside and outside) of the home. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB.

There were 4 children in care (2 whom are infants) at the time of inspection with the licensee, and co licensee.

On 8/9/2019 Licensees informed to the El Segundo Regional Office that facility is converting the detached garage (2 story) located at the back of the house to an apartment. This area is off limit to children in care. Per licensees the converting detached garage to an apartment started on July 18, 2019 and will finish no later than September 10, 2019. Licenses were not able to provide copy of the construction permit. Per Licensee they do not change the size of the detached garage and will be used only for family member.
At 8:35am Per facility sketch, LPA observed the back yard (off limit area) is in construction. LPA observed that area was a detached garage and is converting to an apartment (2 bedrooms, 1 bath, 1 living, kitchen (first floor). Per licensees the second floor of the detached garage is occupied by family member. All adult is have criminal record and been associated to the facility as well.
The drive way will be off limit until finish construction. Licensees agreed to remove all toys from the drive way and maintain the two gates located at the drive way area closed during the operation hours. Licensee will send a picture of the drive way without toys to LPA (off limit). After finishing the construction, licensee will send a proof of the finish construction to LPA Miranda.

Licensee provided a declaration stated that they understand that converted detached garage into an apartment cannot be use for day care and licensees will maintain the area as an off limit to children in care.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: DIAZ & DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 197494224
VISIT DATE: 08/15/2019
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During this inspection, LPA observed that licensees were providing care and supervision on the main house, living room, and bedroom#1.

Facility was in substantial compliance at the time of this inspection.
An exit interview was conducted, and a copy of this report was given to licensee Lisa Diaz, Licensee and Socora Diaz, Co- Licensee.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
LIC809 (FAS) - (06/04)
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