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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020589
Report Date: 05/27/2022
Date Signed: 05/27/2022 05:24:22 PM

Document Has Been Signed on 05/27/2022 05:24 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MOTTA FAMILY CHILD CAREFACILITY NUMBER:
198020589
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/27/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:40 PM
MET WITH:Licensee, Olivia MottaTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced POC (plan of correction) inspection to insure that the Technical Violations cited on 5/5/22 have been cleared. Another reason for the visit is to test the whole house alarm system to aid with pool safety. LPA met with Olivia Motta, licensee who guided analyst on a tour of the facility. There were no children present during this inspection. The following was observed:

- At 4:51 pm, LPA observed the pool gate spring has been adjusted so that the gate is self-closing and self-latching.

- Plastic fence barrier has been placed on the grass, to cover the gap between grass and bottom of metal fence. Plastic fencing touches the grass and is secured into the ground and with zip ties on the metal fence around pool.

- Alarm is a whole house alarm on all windows and doors in the entire house. When alarm sounds it also says the name of the window or door that is opened. LPA tested alarms on the windows and doors in the master bedroom and bathroom that lead directly to the pool and they were operable. LPA observed the alarm can be heard from the entire house. Per licensee, the alarm is set at all times. LPA also tested the security alarm which is an additional alarm that licensee sets when they know they will not be going outside. This alarm is a louder alarm that is activated when any door or window is opened.


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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE: DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/27/2022
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MOTTA FAMILY CHILD CARE
FACILITY NUMBER: 198020589
VISIT DATE: 05/27/2022
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LPA cleared Technical Violations on this date and provided a copy of the Licensing Report to Olivia Motta, licensee.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.


A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Olivia Motta.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022
LIC809 (FAS) - (06/04)
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