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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372012072
Report Date: 07/16/2021
Date Signed: 07/16/2021 10:58:55 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LINTON, DARIA FAMILY CHILD CAREFACILITY NUMBER:
372012072
ADMINISTRATOR:DARIA LINTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 315-3474
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:14CENSUS: 12DATE:
07/16/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Daria LintonTIME COMPLETED:
11:05 AM
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ON 7/16/21, Licensing Program Analyst (LPA), Tyra Block, conducted an unannounced inspection for the purpose of verifying the Proof Of Correction (POC) for the deficiency cited on 6/29/21. LPA inspected the home for health and safety hazards. Based on LPA's observation the corrections are sufficient and satisfactory for clearance.

The licensee was provided with the POC letter and this report, along with Licensee Appeal Rights by email. Her signature on this report is acknowledgment of receipt. The Notice of Site Visit was also provided and licensee was informed it must be posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
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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