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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846008
Report Date: 06/22/2021
Date Signed: 06/22/2021 09:27:58 AM

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:SCOTT FAMILY CHILD CAREFACILITY NUMBER:
334846008
ADMINISTRATOR:SCOTT,YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 653-4148
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:14CENSUS: 0DATE:
06/22/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Yolanda Scott, ApplicantTIME COMPLETED:
09:30 AM
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On date and time listed, Licensing Program Analyst Elyse Jones, arrived at the facility to conduct a Case Management inspection to ensure the pool meets the Title 22 regulations.

On April 28, 2021 LPA Jones conducted a Pre Licensing tele inspection. During the virtual tour of the facility, LPA was unable to get an accurate measurement of the pool fence.

During today's inspection the pool gate was measured and the door was tested to ensure it is self latching/closing.

As of today, the pool gate measured 5ft, latch is no more than 6in from the top of gate and has a self latching/closing door. The pool fencing is in compliance with Title 22 regulations.

An exit interview was conducted and a copy of this report was provided to the licensee on this date.

A copy must be made available upon request, to the public, for 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
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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