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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409263
Report Date: 05/25/2022
Date Signed: 05/25/2022 10:03:53 AM

Document Has Been Signed on 05/25/2022 10:03 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:FIGUEROA CHAVEZ, YARAFACILITY NUMBER:
073409263
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/25/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Yara Figueroa ChavezTIME COMPLETED:
10:25 AM
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On 5/25/2022, at 9:25AM, Licensing Program Analyst (LPA) Melissa Guirit arrived announced on a Pre-Licensing inspection and met with applicant Yara Figueroa Chavez. There are no children in care during todays inspection. The purpose of the inspection was to grant a license for a small family daycare and to conduct a health and safety check. Operating hours will be 7:30AM to 5:00PM, Monday through Friday.

The home is a single family home with four bedrooms and two bathrooms. The on limit areas will be the two rooms in the front of the home, which will be used for child care, living room, hallway bathroom, and backyard. The off limit areas will be the four bedrooms, master bathroom, garage, laundry room, kitchen, right side yard, and middle yard area, which will be inaccessible by closed and/or locked doors or visual supervision. The ISOLATION AREA will be in the living room. Outdoor play area will be in two fenced in areas. The outdoor play area is split into four fenced areas. Two fenced areas will be used for child care (the area as you walk into the back and the left side yard. The middle outdoor area will be off limits for now until it is finished and will only be used as a walk way to the left side yard with supervision. There are no pools, hot tubs or any other bodies of water during today's inspection.

The home has a fully charged 2A10BC fire extinguisher, a working smoke and carbon monoxide detector in the hallway and a first aid kit. Applicant has a working telephone. Applicant's CPR and First Aid certificate is current and expires on 6/2023. Per applicant, there are no firearms in the home. Applicant was reminded of the responsibility as a mandated reporter and will provide proof of the required training for child care providers. Applicant has a current Mandated Reporter Training certificate that expires on 3/2024.

See 809-C for continuance.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: FIGUEROA CHAVEZ, YARA
FACILITY NUMBER: 073409263
VISIT DATE: 05/25/2022
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Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.


For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

This home is now recommended for a small family day care home as of today, 5/25/2022. Exit interview conducted and report was reviewed with the applicant.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC809 (FAS) - (06/04)
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