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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004649
Report Date: 02/05/2020
Date Signed: 02/05/2020 01:55:08 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:TRAN, LINHFACILITY NUMBER:
414004649
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
02/05/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Linh TranTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Kassandra Medrano and Licensing Program Manager Ali Zebila met with Applicant Linh Tran and Daughter Kaitlynn Tran for an announced informal meeting.The purpose of the meeting was to discuss the current status of Mrs. Tran's application. LPM discussed the importance of regulations on operation of a family child care home, and the requirements of being a licensee. During this meeting, applicant stated that she wants to add Kaitlynn to license. Applicant provided all required documents for daughter. LPM discussed possible legal action if the applicant receives citations and complaints once fully licensed.

LPM and LPA covered regulations 102417 Operation of a Family Child Care Home and 102352 Definitions of "Home". Also discussed that the applicant, once fully licensed, may not engage in outside employment which may directly or indirectly impair his function as the primary caregiver and may not employ a substitute caregiver as the primary caregiver. Mrs. Tran states she understands what was discussed during this office meeting. Applicant was also reminded that all adults living and/or working in the home must have criminal record clearances on file prior to being present in the home. In addition applicants, Linh Tran and Kaitlynn Tran, states that they are the primary operators of this license.
For questions and general licensing information please see the website: www.dss.ca.gov

Prior to licensure, LPM and LPA are requesting the following information:
  • Updated utility bill to reflect applicant's home address.
  • Daughters Class Schedule


A copy of this report was reviewed and provided to Mrs. Tran.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
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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