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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415278
Report Date: 11/04/2020
Date Signed: 11/05/2020 03:06:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:DAYRIT, LAURA ANNFACILITY NUMBER:
434415278
ADMINISTRATOR:DAYRIT, LAURA ANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 421-2624
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:14CENSUS: 12DATE:
11/04/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Laura Ann "Lori" DayritTIME COMPLETED:
03:01 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
Licensing Program Analyst (LPA) Samantha Yip conducted an announced Case Management-Other inspection. Due to COVID-19 and shelter in place, a tele-inspection was conducted via Zoom. LPA met with Licensee Laura Ann "Lori" Dayrit and explained the purpose of this inspection. The purpose of this inspection is Licensee wants to use the living room and dining room temporarily due to COVID-19 and distance learning. LPA informed Licensee that a copy of this report will be emailed to her. Licensee's response to email will serve as acknowledgement that report was received.

Licensee guided LPA on a tour of the room. LPA observed that the rooms were safe for children. There is a fireplace and stairs, which are barricaded. The off-limit areas of the home are the entire upstairs, garage, and pantry room. A fire clearance for 14 children was granted on 04/18/2017. Licensee stated that she will inform LPA once the rooms will no longer be used for children.

No deficiencies have been cited as a result of this inspection. An exit interview was conducted where this report was discussed and emailed to Licensee Lori Dayrit. A Notice of Site Visit has been issued and must be Dposted for 30 consecutive days.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2020
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