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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625205
Report Date: 09/13/2019
Date Signed: 09/13/2019 03:47:43 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: 11DATE:
09/13/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Silvia Vazquez-Zamora, ProviderTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced Case Management inspection to the facility today. LPA met with provider Silvia Vazquez and made her aware of the purpose of today’s inspection is 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. There were eleven children and three staff present during today's inspection.
The facility is a two story four bedroom house. LPA toured the facility and noticed that all of the required notices, License and forms were properly posted. Daycare areas includes: dining room, hallway bathroom, main daycare room located next to the dining room and back yard. Off limits areas includes: The second floor and garage.
The house smoke and carbon monoxide detectors are operable and fire extinguisher is fully charged. The day care bathroom was inspected, it is clean and operable with good ventilation. The kitchen is barricaded with a baby gate and is not accessible to children.
The backyard is fully fenced and there are plenty of toys and equipment for outside activities. The playground structure is firmly secured to the concrete.
A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Provider's First Aid and CPR is current. Provider stated that they do have hand gun and ammunition in this house.

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.

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: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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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