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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842968
Report Date: 08/30/2022
Date Signed: 09/15/2022 02:18:50 PM


Document Has Been Signed on 09/15/2022 02:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:CAYWOOD FAMILY CHILD CAREFACILITY NUMBER:
334842968
ADMINISTRATOR:CAYWOOD, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 675-3578
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY:14CENSUS: DATE:
08/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Vanessa Caywood, Licensee TIME COMPLETED:
02:18 PM
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Licensing Program Analyst (LPA) Kay Turner conducted an inspection regarding installation of above ground spa. The following is observed: above ground spa located in an off-limit area, which is the backyard. The patio door off the kitchen, as well as the 2 windows in the living room are all alarmed. Licensee opened the door and LPA was able to hear the alarm, which tells the location of the area opened proving the alarm is operational. The spa has a full cover with 10 locks and 5 chains attached via the pool cover.

An exit interview was conducted and Notice of Site Visit was provided to the licensee, Vanessa Caywood. .
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene TurnerTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2022
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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