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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217068
Report Date: 08/07/2024
Date Signed: 08/07/2024 03:09:04 PM

Document Has Been Signed on 08/07/2024 03:09 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:ALCANTAR FCC AKA AALIYAH FAMILY CHILD CAREFACILITY NUMBER:
426217068
ADMINISTRATOR/
DIRECTOR:
AALIYAH ALCANTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 363-1573
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/07/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Aailyah Alcantar TIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On 08/07/2024, Licensing Program Analysts (LPAs) Martina Jimenez and Matthew Sapien, conducted an announced, Pre-licensing inspection for a large Family Child Care Home (FCCH) license, to review the pending corrections. LPAs met with Aaliyah Alcantar, applicant, the purpose of the inspection was discussed and together LPAs and Applicant toured the inside and outside of the home. There were no children in care at the time of the inspection.

LPAs observed the following corrections to be completed and corrected at the time of the inspection;

1. Clean all the small objects from the living room floor
2. Secure the roses in the children's play area
3. Repair broken living room window
4. Remove nails along the fence line
5. Emergency disaster - Second temporary location
6. Infant Napping equipment
7. Receipt for fire extinguisher

This Report Continues on LIC809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/07/2024
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On June 26, 2024, the applicant submitted documentation for a large FCCH license. The applicant is seeking a Large FCCH with a capacity of 14 children. The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on July 17, 2024.

This home meets Title 22 Division 12 requirements of a large FCCH license. Effective date of license will be noted as the present, 08/07/24.

A notice of site visit was given to applicant, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the applicant, .Aaliyah Alcantar.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC809 (FAS) - (06/04)
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