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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215471
Report Date: 02/27/2020
Date Signed: 02/27/2020 10:46:25 AM

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:COTTRELL FAMILY CHILD CAREFACILITY NUMBER:
566215471
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
02/27/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Maria CottrellTIME COMPLETED:
11:00 AM
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On February 27, 2020 at approximately 9:46 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Austin Rios conducted an announced Case Management inspection. LPAs and licensee together toured the facility inside and out. There were two children in care at the time of the inspection.

Licensee submitted an application to the Community Care Licensing (CCL) requesting an increase in capacity. Licensee is requesting to become a large family child care facility. The licensee uses the sun room, one bedroom, one bathroom, and back yard for their day care. A fire clearance request was submitted on 2/18/20 to the Ventura County Fire Department (VCFD). On February 19, 2020 the VCFD inspector came to the facility and conducted a fire inspection. The facility received a fire clearance approval for the large family child care facility. Licensee has completed all required licensing requirements to become a large family child care.

Facility license will be a large family child care effective today, February 27, 2020 for a capacity of 14 children.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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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