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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215388
Report Date: 07/23/2021
Date Signed: 07/23/2021 11:31:18 AM

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:DELGADO FAMILY CHILD CAREFACILITY NUMBER:
426215388
ADMINISTRATOR:ROSA DELGADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 287-0577
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 7DATE:
07/23/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Rosa Delgado TIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) conducted an unannounced Case Management Inspection. Licensee was contacted and asked Pre-Screening Covid-19 questions prior to LPA entering the home. Licensee’s responses to the questions suggest no COVID-19 exposure on site.

Licensing Program Analyst Martina Jimenez (LPA) conducted a case management inspection and met with Rosa Delgado, Licensee, regarding the garage conversion to a day-care room. LPA toured the facility inside and out. LPA observed 5 children, and 2 infant in the facility during visit.

LPA was provided a copy of Permits of the garage conversion to a day-care room during the visit.

Licensee is to submit verification of the following corrections prior to the approval of the garage conversion to a day-care room;
  • Secure drawers and cabinets in the day-care room
  • Licensee is to secure the tools, weights, and garden tools, from the walk way that goes from the day-care room to the backyard play and make the above mentioned items inaccessible to day-care children.
  • Secure the 1st hallway on the right by front door, making the bedroom and bathroom inaccessible to day-care children.
  • Secure the day-care room door leading to the outside and storage room.
  • THE FACILITY AT THIS TIME CAN ONLY OPERATE IN THE STRUCTURE CLEARED UNDER LICENSE.


Licensee will submit photos of corrections via email to LPA Martina.Jimenez@dss.ca.gov by July 26, 2021.

The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Jimenez. There were no deficiencies cites at this time. LPA observed licensee post the Notice of Site visit FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021
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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