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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004625
Report Date: 12/08/2020
Date Signed: 12/08/2020 12:55:09 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: 5DATE:
12/08/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Victoria GalanakisTIME COMPLETED:
01:00 PM
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On December 8th, 2020 at 10:30AM, Licensing Program Analyst (LPA) Jyoti Saini met with an applicant Victoria Galanakis for an announced Case Management inspection for an increase of capacity. Due to Covid-19 State of Emergency, the inspection was conducted via Facetime. The purpose of the inspection was explained. Licensee has requested to increase capacity from small family childcare home to a large family childcare home (FCCH).Present in home is the Licensee, a helper, and 5 children. Applicant states her hours of operation will be Monday-Friday 8:00am-5:30pm.
The home is inspected for health and safety hazards. 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 properly barricaded. Per Applicant, no firearms or no weapons in the home. The home has a working smoke detector, carbon monoxide detector, a working telephone, a fully charged 2A10BC fire extinguisher. Licensee’s renewed CPR expires in 04/2021. 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.
Staff-children ratios discussed with Licensee for a Large Family Child Care Home (FCCH). If there is no helper, Licensee will need to operate within the small FCCH in regard to ratios. If care is provided to the 7th and 8th child for a Small FCCH, or 13th and 14th child for a Large FCCH, the last two children need to be school aged (6 years old).

Fire Inspector inspected facility on 12/01/20 and granted fire clearance.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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
VISIT DATE: 12/08/2020
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*Licensee was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

*Licensee was reminded about the Provider Information Notices (PINs) on CCLD website.

*Licensee was reminded about Mandated Reporter Training available on CCLD website (www.ccld.ca.gov or www.mandatedreporterca.com)


Large Family Child Care License has been approved effective 12/08/2020.


Licensee was advised to post the License when she received it.


**This report and rights to comment were discussed with Applicant.Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov


SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
LIC809 (FAS) - (06/04)
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