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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494224
Report Date: 06/25/2021
Date Signed: 06/25/2021 12:07:36 PM

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: 3DATE:
06/25/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee Lis & Socora DiazTIME COMPLETED:
12:15 PM
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On June 25th, 2021 at 11:00 am Licensing Program Analyst Lisa Rios went to the Diaz & Diaz Family Child Care home for a capacity increase inspection for a large family child care . The facility has a completed 850 Fire Inspection report, no corrections are needed to the home.

LPA Rios completed a tour of the home and completed an annual required 1 year inspection as well. Home is found to be in substantial compliance. A records file review of children present and both licensee's was conducted and all required forms are present including required licensing posted forms. The licensee will increase capacity for 14 children and a flyer was given to show how many children and their ages can be admitted to care.

Inside the home has substantial toys and equipment for the increase in children. There are two tables and 8 chairs to eat at, 2 playpens for infants and 3 high chairs for eating. There are 6 cots and 4 mats for older children to nap on.

A copy of this report will be given to the licensee and a new license will be emailed and sent in the mail.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021
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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