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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216865
Report Date: 04/19/2024
Date Signed: 04/19/2024 10:15:41 AM

Document Has Been Signed on 04/19/2024 10:15 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:BOCANEGRA RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
426216865
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/19/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Josefa Bocanegra TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On April 19, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an announced Prelicensing inspection at the above-mentioned residence. . LPA met with applicant Josefa Bocanegra and informed them the purpose of the inspection. At the time of the inspection there were no children present. LPA notes that this Prelicensing inspection is to follow up on corrections needed to be able to issue a Small Family Child Care license.

The following was inspected during today's inspection. LPA observed the body of water (a fishpond) to be inside the home and to be completely enclosed with a fence that is at least 5 feet tall. LPA observed the gate to swing away from the fish pond and observed the gate to be self latching. LPA observed the latch to be at the top of the fence which is beyond the reach of children in care. LPA advised applicant to add a clip or lock to the latch as an extra precaution.

LPA notes, the applicant has made all the corrections needed.

The home meets Title 22 of CCR requirements for a Small Family Child Care License. Effective date of the license will be noted as the present 4/19/2024.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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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