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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404172
Report Date: 04/05/2023
Date Signed: 04/05/2023 10:10:11 AM

Document Has Been Signed on 04/05/2023 10:10 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:VERDUZCO, LISAFACILITY NUMBER:
073404172
ADMINISTRATOR:VERDUZCO, LISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 234-9988
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 2DATE:
04/05/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lisa VerduzcoTIME COMPLETED:
10:15 AM
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On 04/05/2023 at 9:00 AM, Licensing Program Analyst (LPA) Christina Watts conducted an Plan of Correction inspection at Lisa Verduzco's large family child care home. During inspection, there were two children in care (2 preschooler aged children). Also present during inspection was licensee spouse/assistant. Licensee stated there are currently 17 children enrolled. Licensee and all adults in the home have Criminal Record Clearance.

LPA returned to the home to clear Plan of Correction give to the facility on 03/15/2023. LPA inspected the front outdoor area, kitchen and bathroom. LPA observed a cleared front outdoor area near the front door. LPA did not observed any trash bag or items on the front outdoor area. LPA also inspected the bathroom and kitchen area, LPA observed tile have been installed in the hallway bathroom. LPA also observed the bottom of the kitchen panel has been fixed.

Licensee stated that she is currently enrolled in Pedratic/CPR First Aid course and the course will be completed April 7th, 2023 and licensee will submit certificate to licensing once course is completed.

Licensee stated she and spouse are currently cleaning up the backyard and making sure backyard is safe for children in care. Licensee requested the backyard to be off limits until LPA returns to conduct an inspection to make backyard on limits to children in care. Licensee stated they have a park nearby facility to use for outdoor activity until backyard is safe for children in care.

As of 04/05/2023, LPA cleared one Type B citation. Licensee will complete second type B deficiency and submit certificate to licensing.

During inspection, there was no violations observed. Exit interview conducted and report was reviewed with the licensee, Lisa Verduzco. A notice of site visit was given and must remain posted for 30 consecutive days
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2023
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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