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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313927
Report Date: 08/30/2021
Date Signed: 08/30/2021 12:32:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:URREA, RUBYFACILITY NUMBER:
304313927
ADMINISTRATOR:URREA, RUBYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 650-6711
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:14CENSUS: 0DATE:
08/30/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Ruby Urrea, ApplicantTIME COMPLETED:
12:30 PM
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A follow-up pre-licensing inspection conducted on this day by LPA Torrence to observe corrections to the swimming pool gate and alarms and locks on the front door and windows facing the swimming pool.. LPA Torrence met with Ruby Urrea, applicant, who is Spanish Speaking. Also present was applicant's son who was able to translate for applicant.

This facility has a swimming pool located in the front yard. The following corrections were observed:

1. The swimming pool mesh fence had a gate installed that swing away from the body of water, self-closing and latching, with the latching device located no more than six inches from the top of the gate. The gate also has a lock which requires a key to open.
2. There were no climbable structures that would make the fence less than five feet
3. This fence meets the regulatory standards for swimming pool fencing, and the applicant has agreed the fence will remain in place whenever licensed care is provided
4. Applicant has installed an alarm on the front door and windows facing the swimming,, in the dining room, and a safety lock on the window in the bedroom. During the inspection, applicant tested the alarms for LPA Torrence, to ensure they were operable.

Per applicant, the daycare children will enter the facility through the gate, located on the side of the house, not through the front gate where the swimming pool is located.

Facility meets all licensing requirements and file will be submitted for approval.

Exit interview conducted with applicant and a copy of this report was provided to applicant.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
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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