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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626098
Report Date: 06/06/2019
Date Signed: 06/06/2019 04:46:06 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:KYANZA, AISHA FAMILY CHILD CAREFACILITY NUMBER:
376626098
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
06/06/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Aisha KyanzaTIME COMPLETED:
04:50 PM
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LPA Nancy Diaz conducted an unannounced case management inspection. Mrs. Kyanza was home today with one daycare child. The purpose of this inspection is in reference to Mrs. Kyanza's request for an increase of capacity to a large family child care home.

A tour of the home was conducted. Children will have access to the living room, dining, kitchen, hallway bathroom and Mrs. Kyanza's bedroom. The children also have access to the apartment's common area. Mrs. Kyanza stated that she visually supervises the children when they play outside.
Mrs. Kyanza's helper will be her brother, Jafferi Kyanza. Current immunization record was available and reviewed for Jafferi. His CPR and First aid certificates are valid thru May 6, 2021.
LPA provided Mrs. Kyanza a handout on "Effects of Lead Exposure". This handout will be shared with all daycare parents.

An increase of capacity to a large family child care home is granted effective today, June 6, 2019.

A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met

(a) At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.

(b) No more than three infants are cared for during any time when more than 12 children are being cared for.

(c) The licensee notifies a parent that the facility is caring for two additional schoolage children and that there may be up to 13 or 14 children in the home at one time.

(d) The licensee obtains the written consent of the property owner when the family day care home is operated on property that is leased or rented.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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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