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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627748
Report Date: 03/18/2021
Date Signed: 03/18/2021 12:01:48 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:TAPIA HERNANDEZ, ARIANA FAMILY CHILD CAREFACILITY NUMBER:
376627748
ADMINISTRATOR:ARIANA TAPIA HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 341-9739
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 7DATE:
03/18/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Ariana Tapia-Hernandez TIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Jennifer Lott conducted an announced Case Management Tele-Inspection due to COVID-19 restrictions. LPA identified herself to Licensee, Ariana Tapia-Hernandez and disclosed the purpose of her visit. The purpose of her visit was to discuss the recent construction and floor plan change to her Family Child Care Home.

During today’s visit the LPA conducted a tour of the facility with the licensee. Changes to the facility sketch included the addition of two (2) bathrooms, one of which is for day care use. The following areas will be used for day care; living room, kitchen, dining room, backyard, bedroom #3 and bathroom #3. The following areas will be off limits to day care children; bedroom and bathroom #1, bedroom and bathroom #2. LPA found the physical plant is consistent with the newly submitted facility sketch/floor plan. In addition, the Fire Marshall granted a fire clearance for a capacity of fourteen (14) on March 17, 2021. Licensee also meets the COVID-19 posting requirements.

Based on today’s inspection, no deficiencies are being cited as the facility has been found to be in compliance. Since the inspection only involved a change in the facility floor plan and fire clearance, the current license remains in effect.

An exit interview was conducted and a copy of this report (LIC 809), Appeal and Licensee Rights (LIC 9058) and Notice of Site Visit (LIC 9213) was provided to Licensee, Ariana Tapia-Hernandez via email. A read receipt confirms documents were received and acknowledged. The Notice of Site Visit (LIC 9213) must remain posted for thirty (30) days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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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