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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009327
Report Date: 06/29/2020
Date Signed: 06/29/2020 03:37:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:SILVA, ERIKA FCCHFACILITY NUMBER:
483009327
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
06/29/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Erika SilvaTIME COMPLETED:
03:30 PM
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The facility inspection was conducted via tele-inspection due to the Covid-19 state of emergency pandemic. The department has suspended all field operations and the applicant has agreed to conduct the video conference with LPA, (Licensing Program Analyst) Glenn Ouye.

LPA Ouye conducted a case management video visit for the purpose of a capacity increase. The licensee is going from a small FCCH to a large FCCH. The application was received on May 15, 2020 and the fire inspection Std 850 was approved by the Vallejo Fire Inspector and received by the department on June 29, 2020. The licensee toured LPA Ouye through her garage which is used as a the child care area. The licensee has activated the smoke and carbon monoxide detectors in the child care area. The licensee also showed the LPA the fire pull station and the wall mounted fire extinguisher.

The licensee will use the side door to the garage as an entrance and exit for parents.
The floor plan/on limit area has not changed and the licensee meets all requirements to operate as a large FCCH.

Effective June 29, 2020 this facility is approved to operate as a Large Family Child Care Home.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
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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