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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215871
Report Date: 01/11/2021
Date Signed: 01/22/2021 04:01:20 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:GARCIA CLEMENTE FCC AKA GRACE FCCFACILITY NUMBER:
566215871
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
01/11/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Salustia Garcia ClementeTIME COMPLETED:
10:00 AM
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On 1/11/2021 at 9AM, Licensing Program Analyst (LPA) Michael Avila made an announced telephone call to Licensee to conduct a Case Management-Licensee Initiated inspection to increase capacity to her child care license from a small family child care license to a large. LPA met with Salustia Garcia Clemente and advised her the purpose of the inspection. LPA advised licensee that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, a tele-inspection would be completed. LPA confirmed with licensee that she had video capabilities with her phone and switched to Zoom to conduct the inspection.
The home is a single story home. The Licensee uses the living room, hall bathroom, and the backyard for the daycare operation. The bedrooms are designated off limits. The fire clearance was granted on 1/6/2021 by the Oxnard Fire Department. There is also a functioning carbon monoxide detector. Toxins and hazards are inaccessible to the children. Licensee's CPR first Aid certificate expires 9/16/2021. The backyard is completely fenced.

LPA Avila observed Licensee implementing COVID19 preventative measures at the facility. Preventative COVID19 posters were observed on the wall at the entrance into the facility and in the restroom designated for the daycare children. LPA observed a thermometer at the entrance of the facility where Licensee states she checks the temperature of the parents and children prior to the children being dropped off at the facility. Children's temperature are also checked again throughout the day. LPA observed children in care wearing a mask at the facility. The increase in capacity is granted effective today 1/11/2021.

LPA advised Licensee new child care regulations for infants are available for her review at www.ccld.ca.gov

“Exit interview was conducted with Salustia Garcia Clemente via tele-inspection, during which the report was explained. This report will be sent to Licensee via email with a read receipt or confirmation of receipt of email, which will act as the Licensee's signature.”
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2021
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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