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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619282
Report Date: 01/11/2023
Date Signed: 01/11/2023 11:51:23 AM


Document Has Been Signed on 01/11/2023 11:51 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:LAVENANT, OLGA FAMILY CHILD CAREFACILITY NUMBER:
376619282
ADMINISTRATOR:OLGA LAVENANTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 781-5702
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 11DATE:
01/11/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Olga Lavenant, ProviderTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) D. Sanchez made an unannounced Case Management inspection in response to the request to open a bedroom for the daycare. LPA was greeted and allowed entry into the facility by Olga Lavenant, who was advised of the purpose of today’s inspection. During today's inspection, there were 11 children and three staff present. Appropriate ratios and capacity were observed. Appropriate care & visual supervision was also observed during the inspection.

Licensee accompanied LPA to inspect bedroom located next to the living room area. During the inspection, LPA advised provider the items that needs to be removed out of the reach of children. Provider stated that due to the items needed to be removed from the room, she prefers to continue to keep the room off limits.

There are no deficiencies cited on this inspection, all paperwork is in order and required documents were properly posted.

An exit interview was conducted with Olga Lavenant and a copy of this report left at the facility. Copy of this report shall be maintained in the facility for public review.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
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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