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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004625
Report Date: 11/05/2019
Date Signed: 11/05/2019 01:31:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GALANAKIS, VICTORIA A.FACILITY NUMBER:
414004625
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
11/05/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Victoria GalanakisTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Faye Bremer conducted an announced Prelicensing inspection to follow up on changes requested from previous inspection conducted on 10/25/2019, prior to Licensure. Applicant is requesting License for 6 children. LPA met with Applicant Victoria Galanakis and explained purpose of inspection.

LPA inspected the home inside and out. LPA observed that there was netting installed along the fence for safety. LPA observed all exersaucers, bouncers and swings were removed. LPA observed child safety locks were installed on door leading to the garage, and on cabinet doors under kitchen sink.

here are three bedrooms, 2 bathrooms, a living room, dining room, outdoor covered patio, deck, backyard, garage and kitchen in this home. Day care areas are: the dining room, bedroom #2, the covered outdoor patio and deck, and bathroom. Off limit areas are: the living room, master bedroom, master bathroom, bedroom #3, backyard, garage. The living room is used to walk through to get to the day care areas. The off limits areas are blocked off and made inaccessible. Fireplace is in the off-limits living room, and is barricaded. Per Applicant, no firearms or no weapons in the home. Isolation area will be the kitchen. The home has a working smoke detector, carbon monoxide detector, a working telephone, a fully charged 2A10BC fire extinguisher, first aid and emergency supplies. Applicant has 3 cats, and will be kept separate from the children during day care hours. There are sufficient, age appropriated toys, furniture and napping equipment in the day care areas. Bathroom is clean and no hazardous material is accessible to children. Applicant states that she will be providing all meals to children over 12 months old. Applicant states that infants under 12 months will have to bring their own food from home.

Licensee was advised to post the License once received. Licensee was also advised to conduct fire/disaster drills at lease once every six months, and to log the date and time of the drill. Records to be maintained was discussed and reviewed with Applicant. Applicant was informed to obtain copy of regulations and current licensing forms thru the Department's website at www.ccld.ca.gov. Requirements regarding Unusual Incident Report were also discussed.

Based on observations today, LPA recommends this facility to be licensed for 6 ambulatory children today.

This report was reviewed and copy provided to Applicant Victoria Galanakis
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
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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