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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216283
Report Date: 04/11/2022
Date Signed: 04/11/2022 12:27:56 PM


Document Has Been Signed on 04/11/2022 12:27 PM - It Cannot Be Edited

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:ALAPIZCO FAMILY CHILD CAREFACILITY NUMBER:
426216283
ADMINISTRATOR:LAURA ALAPIZCOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 314-4548
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 0DATE:
04/11/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Laura AlapizcoTIME COMPLETED:
12:35 PM
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On 04/11/2022 at 12:00 PM, Licensing Program Analysts (LPAs) Francisca Velazquez and Francisco Pedroza conducted an announced continuation pre-licensing inspection. LPAs met with Applicant, Laura Alapizco and informed her of the purpose of this inspection.

LPA Velazquez conducted a pre-licensing inspection on Friday 04/08/22. License was not granted due to the Applicant not having the home set up. On Friday 04/08/22 there was no home furniture observed and no day-care furniture observed. Per Applicant, all home and day-care furniture will be moved over the weekend.

On Sunday 04/10/22, Applicant informed LPA Velazquez that the home was set up and ready for inspection.

On 04/11/2022, LPAs observed home furniture and day-care equipment in the home. All areas identified as off-limits were made inaccessible by means of gates/fences. LPA observed fire-place has safety lock and is inaccessible to children. All bedrooms were observed to be locked and made inaccessible by means of a gate. In the outdoors, LPAs observed outdoor equipment for the children in care. LPAs also observed that tarps have been added in the outdoor yard to provide shade for the children in care.

Exit interview conducted and report was reviewed with the Applicant, Laura Alapizco. The home does meet Title 22 Division 12 requirements of a large FCCH license. Effective date of Large FCCH license is today 04/11/2022.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2022
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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