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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493008276
Report Date: 06/09/2020
Date Signed: 06/09/2020 12:48:42 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:ARISTIZABAL, ALETA FCCHFACILITY NUMBER:
493008276
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
06/09/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Aleta AristizabalTIME COMPLETED:
12:00 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 contacted licensee Aleta Aristizabal to adviser her that the approved Fire Safety Inspection Std850 has been received from the local fire department on June 9, 2020. The inspection was approved by the fire inspector on January 16, 2020. LPA initiated the zoom video conference with licensee. The licensee toured the LPA through the home showing LPA a functioning carbon monoxide detector and smoke detector. The licensee also showed LPA the wall mounted fire extinguisher in a pantry closet and a second fire extinguisher wall mounted near the fire place.

LPA will email a copy of the Std850 Fire Safety Inspection to the licensee along with this Case Management Facility Inspection Report (LIC809). Effective June 9, 2020 the facility is granted the use of the facility to operate as a Large Family Child Care Home. A copy of the new license will be sent to the licensee.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2020
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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