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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700231
Report Date: 02/02/2023
Date Signed: 02/02/2023 03:02:09 PM

Document Has Been Signed on 02/02/2023 03:02 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:SILVERA FAMILY CHILD CAREFACILITY NUMBER:
367700231
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
02/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:VICTORIA SILVERATIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye made an unannounced visit to the Silvera Family Child Care Home to conduct an Increase in the Capacity inspection. LPA met with Licensee Victoria Silvera. During the visit, LPA toured the home and grounds accessible to day-care children. Currently residing in the home is the Licensee, Spouse and 3 minor children. Main care is provided in the living room and play room at the entrance. Children use the bathroom next to the kitchen. Children will have access to the living room,play room,bathroom next to the kitchen and backyard. Off-limit areas include the entire Bedroom (Bedrooms #1, #2, #3, #4, bathrooms #2 all inaccessible with the door knob, laundry room and garage Inaccessible with child gate. Day-care equipment was evaluated.

There are no "bodies of water" or firearms in this home. Operable 2A10BC fire extinguisher, smoke alarm, and carbon monoxide detector are operable and in place. Central heat and air are available. LPA observed safe toys, safe indoor and outdoor play areas, and child safety plugs in unused electrical outlets, Cleaning compounds are stored away in the laundry area inaccessible to children. There is a fireplace located in the living room which is made inaccessible to children with glass barrier screen locked. The home was inspected inside and out for safety, comfort, and cleanliness.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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: SILVERA FAMILY CHILD CARE
FACILITY NUMBER: 367700231
VISIT DATE: 02/02/2023
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Licensee was informed that in the future if any other adult moves in and lives in this home they must be live scan cleared and TB cleared. The assistant providing care/supervisor also needed to be fingerprinted and cleared, TB cleared, immunized against influenza, pertussis, and measles, and complete the online mandated reporter training. Licensee has current CPR and First Aid Training with an expiration date of 2/11/2023. LPA discussed the practice of fire drills at least every 6 months, and documented the time and who was present. Licensee documented fire drill was conducted on 10/20/2022. Fire clearance was granted on 1/18/2023.

Planned hours of operation are Mon-Fri from 5:00 am to 7:00 PM.

No Incidental Medical Services (IMS) are provided at this time. IMS policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
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: SILVERA FAMILY CHILD CARE
FACILITY NUMBER: 367700231
VISIT DATE: 02/02/2023
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To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication

This home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations.

An exit interview was conducted, and a copy of this report was reviewed and provided to the licensee Victoria Silvera.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
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