<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214277
Report Date: 02/11/2020
Date Signed: 02/11/2020 02:06:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:VEGA FAMILY CHILD CAREFACILITY NUMBER:
426214277
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
02/11/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Margie VegaTIME COMPLETED:
02:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 02/11/2020 at 1:41pm, Licensing Program Analyst (LPA) Christian Patterson conducted a Case Management inspection for the capacity increase requested by Licensee, Margie Vega. The home was toured inside and outside. At the time of inspection, Licensee was supervising three children. Licensee has met immunization requirements per SB 792 and has current Pediatric CPR/first aid which expires on 11/16/21. LPA observed the 2 A10 BC Fire Extinguisher which was serviced on 01/16/2020. Licensee was reminded to service or replace the Fire Extinguisher yearly. The home is equipped with working carbon monoxide detector and smoke detector. No bodies of water were observed. Fire Clearance was received on 01/24/2020. Licensee does not currently carry liability insurance for the facility. All families in care have received and signed the appropriate acknowledgment form. LPA observed clean, safe, age appropriate toys both indoors and outdoors. All hazardous items are stored inaccessible to children in care. The bathroom used by children was observed to be clean and free of toxins.

The home meets all requirements of Title 22 Division 12 for a Large Family Child Care Home. Licensed capacity is increased to 14 children, effective today.

There were no deficiencies cited today. The LIC 9213 (Notice of Site Visit) was posted in LPA's presence.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1