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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216547
Report Date: 11/15/2023
Date Signed: 11/15/2023 11:19:50 AM

Document Has Been Signed on 11/15/2023 11:19 AM - 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:LUNA FAMILY CHILD CARE HOMEFACILITY NUMBER:
426216547
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
11/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Amanda LunaTIME COMPLETED:
11:30 AM
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On 11/15/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management inspection of the abovementioned Family Child Care Home (FCCH) with regard to a change of capacity. LPA met with Licensee Amanda Luna and explained the nature and purpose of the inspection. LPA notes 4 children are on site along with an Assistant (cleared and associated, spouse) providing care and supervision.

LPA toured the interior and exterior of the FCCH with the Licensee. LPA notes the home is clean and orderly. Further, LPA observed child safety gates at the entries of the bedrooms and the living room of the home. The Licensee's training and certifications are current and the home's smoke and carbon monoxide detectors are operable (tested 10:57 AM).

Exit interview conducted and report was reviewed with the Licensee Amanda Luna. A fire clearance from the Santa Barbara County Fire Department was received by CCLD on 10/6/23, granting the FCCH a capacity of 14. As such, the home meets Title 22 Division 12 requirements of a Large FCCH License. Effective date of license will be noted as the present, 11/15/23.

No deficiencies were cited during today's visit.



Appeal Rights (LIC 9058) and a Notice of Site visit was given to Licensee. Notice of Site must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements may result in a civil penalty of $100.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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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