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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625205
Report Date: 05/17/2019
Date Signed: 05/17/2019 04:11:50 PM

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:VAZQUEZ-ZAMORA, SILVIA FAMILY CHILD CAREFACILITY NUMBER:
376625205
ADMINISTRATOR:SILVIA VAZQUEZ-ZAMORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 513-0148
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:14CENSUS: 7DATE:
05/17/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Silvia Vazquez-Zamora, ProviderTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced Case Management inspection to the facility to conduct a site inspection. LPA met with provider Silvia Vazquez-Zamora, to tour the facility. LPA advised provider the purpose of today’s visit, to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. During today's inspection, there were 7 children and an assistant present. Appropriate ratios and capacity were observed. Appropriate care & visual supervision was also observed during the inspection.
The facility is a four bedroom two story house and the stairs were properly barricaded. LPA toured the facility and noticed that all of the required notices, License and forms were posted. The house smoke and carbon monoxide detectors are operable. Facility's fire extinguisher is fully charged.
The day care bathroom was inspected, it is clean and operable with good ventilation. The kitchen has been properly barricaded with a baby gate. The facility backyard is fully fenced and there are plenty of toys and equipment for outside activities. .
LPA reviewed staff and children records. All staff members have current CPR and First Aid certifications. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.
LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

There are no deficiencies cited on this inspection, all paperwork is in order and required documents were properly posted.

An exit interview was conducted with Silvia Vazquez and a copy of this report left at the facility. Copy of this report shall be maintained in the facility for public review.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
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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