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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419851
Report Date: 10/24/2022
Date Signed: 10/24/2022 09:56:23 AM

Document Has Been Signed on 10/24/2022 09:56 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:STONE FAMILY CHILD CAREFACILITY NUMBER:
197419851
ADMINISTRATOR:STONE, AMANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 625-5588
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
10/24/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:STONE, AMANDA - LicenseeTIME COMPLETED:
10:55 AM
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On 10/24/2022, Licensing Program Analyst (LPA) Suzette Ornelas conducted an announced visit at the Family Child Care Home regarding a Type A citation 102417(g)(5)(A) that was issued on 10/18/2022. LPA observed that the licensee has installed a fence that is at least five feet high and is constructed so that the fence does not obscure the pool from view. The bottom and sides of the fence comply with Division 1, Appendix Chapter 4 of the 1994 Uniform Building Code. In addition to meeting all of the aforementioned requirements for fences, the gate swings away from the pool, self-closes and has a self-latching device located no more than six inches from the top of the gate.

This deficiency has been cleared and the facility is in compliance with this regulation and is safe for children in care.

Exit Interview was conducted. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2022
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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