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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216479
Report Date: 01/31/2025
Date Signed: 02/11/2025 02:01:34 PM

Document Has Been Signed on 02/11/2025 02:01 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GALLEGOS FAMILY CHILD CAREFACILITY NUMBER:
406216479
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/31/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Lilliana GallegoTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 1/31/2025 at 9:40 AM, Licensing Program Analyst Gigi Reyes conducted a Case Management - Annual Continuation inspection at the above referenced Family Child Care Home (FCCH) which was initially conducted on 1/29/2025. LPA met with Licensee Liliana Gallegos and discussed the purpose of the inspection. There was one child present in the home.

Today, LPA, in the company of the licensee toured the home . The home is a three bedroom structure with two bathrooms. The main areas used for day care operations include open space layout connecting the living room, dining area and kitchen. Kitchen cabinets have magnetic locking device and inaccessible areas, like bedrooms enclosed with baby gates. A covered patio attached to the home is also used for day care activities.
Since the FCCH has no backyard, day care children use the nearby park in the apartment complex for outdoor plays. Licensee understands that both visual and physical supervision is required. No bodies of water in the complex.
LPA also reviewed the LIC 9149, Property Owner/Landlord Consent allowing licensee to care for up to 8 children.

During today's inspection, no deficiency was cited. Notice of Site Visit was issued and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee, Liliana Gallego.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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