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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136609662
Report Date: 01/14/2025
Date Signed: 01/14/2025 01:38:21 PM

Document Has Been Signed on 01/14/2025 01:38 PM - 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LIZARRAGA, ELSA FAMILY CHILD CAREFACILITY NUMBER:
136609662
ADMINISTRATOR/
DIRECTOR:		ELSA LIZARRAGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 425-7883
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 0DATE:
01/14/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Elsa LizarragaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On January 14, 2025 at 12:35 PM Licensing Program Analyst's (LPA's) Gloria Gonzalez and Jacqueline Macias conducted an unannounced, Licensee initiated, case management inspection to add an enclosed patio which includes a room and a bathroom for daycare use and met with Licensee, Elsa Lizarraga.  LPA disclosed the purpose of the inspection and was granted entry by the Licensee. The Licensee, Licensee's mother, Licensee's daughter and Licensee's grandchild, were present at the facility during this inspection.

On 2/28/24, Licensee submitted documentation requesting to enclose her patio for daycare use. The enclosed patio includes a room and a bathroom and has a door that leads to the backyard. On 11/15/24 Licensee advised of the completed work and submitted a copy of an updated application, facility sketch, and the city permit. On 1/3/25 the department received a granted Fire Clearance signed on 12/16/24.

Licensee accompanied LPA on a tour of the home and the enclosed patio (Daycare area). LPA's did not see any hazardous items and is safe for daycare children to use.

This facility is now a 2 story, 5 bedroom, 4 bathroom house with a studio/garage and 1 bathroom. The following areas used for child care are: The living room, hallway bathroom (located downstairs), the kitchen, the dining area, tv room, the new enclosed patio (daycare area that includes a room and a bathroom) and the backyard. The following areas are kept inaccessible with the use of locks and safety gates: 4 bedrooms and 2 bathrooms that are located on the second story and the attached studio/garage with 1 bathroom.

A copy of the report and appeal rights (LIC 9058) and notice of site visit (LIC9213) was provided to Licensee and must remain posted for 30 days and advised must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA interpreted and explained the inspection report to licensee in Spanish, licensee stated she understood. An exit interview was conducted and report was reviewed with the licensee, Elsa Lizarraga.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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