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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274414766
Report Date: 06/07/2018
Date Signed: 01/10/2020 03:37:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ALEXANDER, VALERIEFACILITY NUMBER:
274414766
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
06/07/2018
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Valerie AlexanderTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) Joseph Macias conducted an unannounced Increase of Capacity Inspection. LPA was greeted and granted entrance by the Licensee Valerie Alexander. The Licensee is currently licensed to provide care for up to eight children, and is requesting for an increase to provide care for up to fourteen children. Prior to today's inspection LPA received an approved Fire Safety Inspection from Soledad Fire Department.

LPA toured the indoor and outdoor areas of the home during today's visit. LPA observed a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, and no bodies of water. The Licensee states that she does not have weapons in the home. All detergents, cleaning compounds, poisons, medications, and other similar items are out of reach and inaccessible to children.

LPA discussed the requirements for a large family child care license. The Licensee has submitted all required documents.
A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met:
- At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.
- No more than three infants are cared for during any time when more than 12 children are being cared for.
- The licensee notifies a parent that the facility is caring for two additional schoolage children and that there may be up to 13 or 14 children in the home at one time.
- If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
- The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.
LPA provided the Licensee with a ratio capacity chart for her reference.

LPA conducted an exit interview with the Licensee and advised the Licensee that a large Family Child Care Home license will be issued pending management approval.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2018
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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