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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700252
Report Date: 08/25/2022
Date Signed: 08/25/2022 05:36:46 PM

Document Has Been Signed on 08/25/2022 05:36 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:VEGA FAMILY CHILD CAREFACILITY NUMBER:
197700252
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/25/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:Maybel VegaTIME COMPLETED:
05:37 PM
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On 8/25/2022 Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced inspection for the purpose of a Case Management - licensee initiated inspection of a Capacity increase request. LPA disclosed the purpose of the inspection and was granted entry by Licensee Mabel Vega, who guided LPA on a tour of the Family Child Care Home. Upon arrival there were no children in care.

There are age appropriate toys and materials in good condition on the premises. Children play in the backyard and individual water bottles are accessible to children. There is a pool and a spa on the premises which meets Title 22 regulations. Safe sleep regulations were discussed and LIC9227 with Safe sleep log were provided to Licensee. Safe sleep concepts handout were also provided to licensee.

Fire clearance was granted 8/15/2022 and is on file.

Family Child Care Home operates Monday through Friday from 5 :00a.m. to 5:30p.m. Per Licensee she participates in the Food Nutrition Program.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VEGA FAMILY CHILD CARE
FACILITY NUMBER: 197700252
VISIT DATE: 08/25/2022
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Licensee is aware when she or assistant is alone with any children, she then reverts to a small family child care. Licensee also understands the ratio and capacity requirements of the small and large family child care license(handout provided). Licensee understands only a cleared associated adult with a background check clearance, immunizations, current Pediatric First Aid and CPR certificates, and Mandated Reporter certificate may be authorized to provide care.

The facility’s fire extinguisher (2A10BC) is reading in green and met the State Fire Marshal standards. The smoke and carbon monoxide detectors were found to be in operable condition. The parent board was reviewed and had all the required forms posted and accessible to parents.

Licensee was reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

Licensee has met Title 22 regulations; Fire clearance was granted 8/15/2022, therefore, a Large Family Child Care Home License capacity of 14 children has been granted effective today 8/25/2022.



An exit interview was conducted, and a copy of this report, appeal and notice of site visit(NOA) was provided to Licensee on this day. All Licensing reports are recommended to be kept on file for minimum three years. Notice of Site Visit must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC809 (FAS) - (06/04)
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