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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274417187
Report Date: 02/28/2025
Date Signed: 02/28/2025 02:47:39 PM

Document Has Been Signed on 02/28/2025 02:47 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ESPITIA, LAURAFACILITY NUMBER:
274417187
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 5CENSUS: 1DATE:
02/28/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:Laura EspitiaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced case management inspection to the home today. LPA met with licensee Laura Espitia. Licensee has obtained consent from landlord for a capacity 8 license. Licensee stated she provides care to 5 children, only one infant was present today. LPA verified that licensee's home have functioning smoke and Carbon Monoxide detectors. LPA observed there is in the home a 3A40BC fire extinguisher serviced on 7/11/24. Licensee has documented a fire drill on 1/30/25. LPA observed barricaded stairs and fenced back patio. Licensee submitted today a form Lic9149 signed by the landlord representative.

Licensee Laura Espitia was informed that her small Family Child Care Home (FCCH) licensee, after manager approval, would be increased from capacity 6 to the maximum capacity of 8. Licensee was provided with a graphic explaining the ratio for a small FCCH license.

No deficiencies were cited today.
A notice of Site inspection was printed and licensee was instructed to post it visible for 30 consecutive days
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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