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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503908402
Report Date: 08/09/2019
Date Signed: 08/09/2019 12:19:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GALVAN, ELIZABETH FAMILY CHILD CAREFACILITY NUMBER:
503908402
ADMINISTRATOR:GALVAN, ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 847-6672
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:14CENSUS: 8DATE:
08/09/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elizabeth GalvanTIME COMPLETED:
12:45 PM
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An annual random inspection #3 is being conducted by LPA Claudia Henley. Met with licensee Ms. Galvan, spouse and one adult assistant. There were seven day care children present and one biological child of licensee's. A tour of the home, inside and outside, as shown on the facility sketch is provided. Children were spoken to during visit. No bodies of water on premises. There are firearms/weapons in the home. The firearms and ammunition are locked in the safe and within Title 22 Regulations. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is not used during day care hours. There is a working fire extinguisher, a smoke detector and carbon monoxide detector is in working order and there is adequate heating and ventilation for safety and comfort. There are no stairs in the home. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. No pets on the premises. Children are supervised when outside in the fenced play area. Fire/disaster drill was conducted in May of 2019. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Pediatric First/Aid is current on licensee and assistant. No medication is given to children. Children's and staff files were reviewed. A children's roster is maintained. Licensee and assistant have proof of immunization. Child Abuse Mandated Reporter training is current. The day care hours and days of operation are: Monday through Friday, various hours of the day or night.
No deficiencies were cited during today's visit. Site Visit Notice posted on the parent board. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
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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