<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845089
Report Date: 04/19/2021
Date Signed: 04/19/2021 11:23:56 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:SERRANO FAMILY CHILD CAREFACILITY NUMBER:
364845089
ADMINISTRATOR:SERRANO,BLANCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 494-6820
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:12CENSUS: 9DATE:
04/19/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Blanca SerranoTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On April 19, 2021 at 11:00am Licensing Program Analyst (LPA) Justin Giese conducted a Licensee initiated Case Management Tele-inspection with Licensee Blanca Serrano. Due to COVID-19, Pandemic, LPA met with the Licensee via FaceTime. Licensee's backyard was previously off limits to day care children due to construction. Licensee has requested to make the facility backyard on-limits to day care children as of this date. Licensee submitted updated LIC999A, Facility Sketch to LPA Giese via email detailing the floor plan of the facility highlighting the new space as being “on limits” to day care children.

LPA Giese toured the facility and assessed the newly appointed on limits backyard for potential safety hazards. LPA observed a large concrete pad with basket ball hoop, new swing set/climbing structure with artificial turf grass for cushioning, large shaded patio with available seating. Licensee has a utility shed in the back corner of the yard, LPA verified the shed is key locked and off limits to children in care. Barbecue grill was stored away from play area and adequately covered. LPA did not observe any hazardous posed by any plants, structures, or furniture in the back yard.

At the time of tele-inspection no deficiencies were cited. Backyard is on limits for use

An exit interview was conducted, LPA Giese provided Blamca Serrano, Licensee with a copy of this report via email. The Licensee's electronic reply to the emailed report acknowledges receipt of this report. A copy of this report and notice of site visit were emailed to Licensee during this Tele-inspection on April 19, 2021. Licensee agrees to post notice of site visit in prominent location for the next 30 days.

A copy of this report must be made available to the public upon request for three years

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1