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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216891
Report Date: 05/01/2024
Date Signed: 05/01/2024 11:22:59 AM

Document Has Been Signed on 05/01/2024 11:22 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:ARIAS FAMILY CHILD CAREFACILITY NUMBER:
426216891
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
05/01/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Maria AriasTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
NARRATIVE
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On 5/1/2024 at 9:45 AM, Licensing Program Analyst, (LPA) Gigi Reyes conducted an announced follow up pre licensing inspection and met with applicant Maria Arias. The purpose and nature of the inspection was discussed. Applicant's minor child was also present during the inspection.

LPA and applicant toured the home inside and outside. It was observed that the following deficiencies were corrected:

1. Safety door handle has been installed on the door leading to the garage, ensuring secure access to day care children.
2. Children's furniture, toys and books previously stored in the garage have been relocated to the living area and the backyard play area.
3. Cots and playpen have arrived and were observed in the living area
4. The cabinet containing sharps has been secured with a safety lock

LPA advised applicant that garage cannot be used for child care purposes including diaper changes. The master's bedroom will be accessible for diaper changes only.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ARIAS FAMILY CHILD CARE
FACILITY NUMBER: 426216891
VISIT DATE: 05/01/2024
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The above corrections bring the home into compliance of California Code of Regulations Title 22 Division 12, therefore, a small family child care home license is granted effective today, May 1, 2024.

Notice of Site Visit was issued and must remain posted for 30 days.

Exit interview conducted and report was reviewed in Spanish with applicant Maria Arias.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024
LIC809 (FAS) - (06/04)
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