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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628484
Report Date: 11/14/2019
Date Signed: 11/14/2019 10:12:35 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:VIVANCO, ELSA & BEILSON, OSCAR FAMILY CHILD CAREFACILITY NUMBER:
376628484
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
11/14/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Elsa VivancoTIME COMPLETED:
10:15 AM
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LPA Armando Locano completed an un-announced follow-up to a new license recently issued for a change of location to this facility address. The purpose of the visit is to ensure the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Met with licensees Elsa and Oscar Beileson Vivanco, we discussed general guidelines pertaining to daycare regulations. The facility has been licensed recently and is now in full operation.

Licensee had a large license capacity of 14 children in the past and is now currently operating with a small license capacity of 8. Licensee may pursue an increase to a large license in this facility address at a later date. LPA discussed increase process to follow.

A review of staff records today November 14,2019, indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

There are no deficiencies cited on this visit, all paperwork was in order, properly posted and the home was properly childproofed.


LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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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