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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215176
Report Date: 10/13/2020
Date Signed: 10/13/2020 01:51:33 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:ABONCE FAMILY CHILD CAREFACILITY NUMBER:
426215176
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 10DATE:
10/13/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Micaela AbonceTIME COMPLETED:
02:00 PM
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On October 13, 2020 at 1:15 PM, Licensing Program Analyst (LPA) Betzayra Cervantes conducted an unannounced tele-visit Case Management inspection. Due to the COVID-19 and Department of Public Health guidelines of social distancing, a tele-inspection was conducted. LPA met with licensee Micaela Abonce and discussed the nature and purpose of the visit. The tele-inspection was conducted via FaceTime. During this tele-inspection the applicant took LPA on a tour of the home. There were 10 children in care at the time of the inspection. Licensee is currently operating under COVID-19 Emergency Blanket Waiver – Capacity Waiver.

Licensee submitted an application to the Community Care Licensing (CCL) requesting an requesting to become a large family child care facility. The licensee uses the living room, one bedroom, one bathroom, and back yard for their day care. On October 8, 2020, the Lompoc Fire Department inspector conducted a fire inspection. The facility received a fire clearance approval for the large family child care facility. A 2A10BC fire extinguisher was observed mounted on the wall in next to the front door with a last service date of 01/06/2020. Licensee's Pediatric CPR and First-Aid certification is current until 10/23/2021. Licensee has completed all required licensing requirements to become a large family child care.

Facility license will be a large family child care effective today, October 13, 2020 for a capacity of 14 children.

A copy of this report was reviewed and provided to the licensees. Licensees agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of their signature once she received the report. LPA requested licensee to email a copy of signed form for records.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
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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