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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005609
Report Date: 08/03/2022
Date Signed: 08/03/2022 04:44:12 PM

Document Has Been Signed on 08/03/2022 04:44 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LONCHAR, MAYAFACILITY NUMBER:
214005609
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
08/03/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maya LoncharTIME COMPLETED:
04:43 PM
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On 8/3/2022, Licensing Program Analyst (LPA), Hanson Leong, conducted a scheduled, case management visit with the Licensee, Maya Lonchar/. The licensee requested an increase in capacity from eight to fourteen. LPA was granted entry by the Licensee. LPA explained to the Licensee about the purpose of the visit. All the facility's staff members have had their criminal background checks cleared by Guardian. During the case management visit, LPA observed the licensee and her assistant supervising three infants and three preschool children.

Both LPA and the Licensee conducted a health and safety inspection of the home. The house is clean and safe, with a working smoke and carbon monoxide detector and a fully charged fire extinguisher. The Licensee is equipped with a fully stocked First Aid Kit as well as a thermometer. A safety gate surrounds the fireplace in the house. There are no bodies of water in the residence. The Licensee has garbage cans with tightly fitting covered lids. At the home, the children in care have access to age-appropriate toys and equipment. The Licensee was reminded by the LPA that baby walkers, bouncers, jumpers, and similar items should not be used on children in care.

The Licensee was reminded by the LPA that if she cares for the thirteenth and fourteenth children, who must be school-age, parent notification and landlord consent are required. The following is required to be posted in an accessible location in view of parents: Emergency Disaster Plan (LIC 610), Parent's Rights (LIC 995A), and License (once received).



On 8/2/2022, the fire department approved the licensees Large Home Day Care fire clearance.

Following the case management visit, LPA will recommend a Large Family Day Care Home license for the Licensee.. The Licensee's new license with a capacity of fourteen will go into effect on 8/3/2022.
***See Page 2 for continuation***.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2022
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LONCHAR, MAYA
FACILITY NUMBER: 214005609
VISIT DATE: 08/03/2022
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Applicant was advised to contact San Bruno Regional Office for concerns or questions. Desk Duty is available Mon-Fri, 8:00am to 5:00pm at (650) 266-8800. Forms and regulations are made available at www.cdss.ca.gov/inforesources/Community-Care-Licensing.

A copy of the report was provided to the Licensee

An exit interview was conducted, and the report was reviewed with the Licensee, Maya Lonchar.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
LIC809 (FAS) - (06/04)
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