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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012661
Report Date: 08/01/2019
Date Signed: 08/01/2019 02:38:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SMITH FAMILY CHILD CAREFACILITY NUMBER:
198012661
ADMINISTRATOR:SMITH, TARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 351-5240
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:10CENSUS: 0DATE:
08/01/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Tara SmithTIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Ariel Cazares and Alicia Bailey conducted an announced case management inspection to the licensed daycare. Currently the facility is closed this week for summer break. Operation will resume on Monday, August 5, 2019. LPAs toured the home and observed no children in care. Hours of Operation: Monday through Friday, 6:30am to 7:00pm.

LPAs inspected the areas that will be used by the daycare children. There is a den, the living room, bathroom, and eating nook inside the home that will be primarily used for children. The converted garage was inspected and found to be in compliance and free from hazards. Licensee agrees that the garage will not be used for eating, sleeping, or toileting and to only be used as additional activity space.

LPAs did not observe any hazards or violations in the home. There is a fire clearance on file for the facility. Licensee's capacity increase application is complete and all previously cited deficiencies have been cleared. LPA reviewed deficiencies cited this year with licensee and advised of how to stay in compliance. The facility is currently in compliance as of this inspection. LPA redirected licensee to the Department's website where regulations can be found, along with other resources. Www.ccld.ca.gov
A copy of the capacity requirements for a Small and Large FCCH were provided and reviewed at this inspection. LPA is recommending the facility be licensed for a Large FCCH.

Exit interview conducted with Licensee Tara Smith. A copy of this report was provided. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
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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