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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215781
Report Date: 05/21/2020
Date Signed: 05/21/2020 02:54:59 PM

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:MELENDEZ-SANTOS FAMILY CHILD CAREFACILITY NUMBER:
566215781
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
05/21/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:04 AM
MET WITH:Catrina Melendez-SantosTIME COMPLETED:
11:40 AM
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On May 21, 2020 at 11:06 A.M., Licensing Program Analyst (LPA) Francisco Pedroza conducted an announced Case Management - Licensee initiated inspection. Due to the COVID - 19 and Department of Public Health guidelines of social distancing, a tele-inspection was conducted. LPA conducted the tele-inspection via Zoom and met with Licensee Catrina Melendez-Santos. LPA discussed the nature and purpose of the inspection. During this tele-inspection the licensee took LPA on a tour of the facility. There was five children in care at the time of the inspection.

Licensee submitted an application to the Community Care Licensing (CCL) on 2/3/20 requesting an increase in capacity. Licensee is requesting to become a large family child care facility. The licensee uses the living room, one bedroom, one bathroom, and back yard for their day care. A fire clearance request was submitted on 2/26/20 to the Ventura County Fire Department (VCFD). The fire inspection had not been completed prior due to COVID-19. On May 18, 2020 the VCFD inspector 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, May 21, 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: 05/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2020
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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