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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216010
Report Date: 12/03/2021
Date Signed: 12/03/2021 11:26:58 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:CHAPMAN FCC AKA POSYFACILITY NUMBER:
426216010
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Alexis ChapmanTIME COMPLETED:
11:42 AM
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On December 3, 2021 at 10:40 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced Case Management inspection. LPAs met with licensee Alexis Chapman and advised her the purpose of the inspection. Licensee provided LPAs a tour of the home inside and out. There were six (6) children in care at the time of the inspection.

Facility had their annual inspection conducted on 9/17/21. There were no deficiencies cited during the annual inspection. Community Care Licensing (CCL) received an application from licensee on 10/20/21 requesting an increase in capacity. CCL submitted a fire clearance request to Santa Barbara County Fire Department (SBCFD) on 10/20/21. On 11/16/2021 the facility received an approved fire clearance from SBCFD. LPAs did not observe any concerns during today's inspection. LPAs reviewed current Covid-19 and Safe Sleep guidelines with licensee.

Effective today December 3, 2021, facility is approved to be a Large Family Child Care with a maximum capacity of 14.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021
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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