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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313603
Report Date: 05/30/2024
Date Signed: 05/30/2024 02:28:59 PM

Document Has Been Signed on 05/30/2024 02:28 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SALAZAR, VICTORIAFACILITY NUMBER:
304313603
ADMINISTRATOR/
DIRECTOR:		SALAZAR, VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 487-3020
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/30/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Victoria SalazarTIME VISIT/
INSPECTION COMPLETED:
02:48 PM
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On 5/30/2024, Licensing Program Analyst (LPA) Silva conducted an unannounced POC visit assisted by licensee Victoria Salazar. The licensee and one assistant had 10 children in care. The facility was operating within its licensed capacity and within compliance of staff-to-child ratios. An on-site Facility Personnel Report Summary review showed that all facility residents, staff, or other individuals who require background checks have received criminal record and child abuse index clearances or exemptions.

During the visit, the LPA reviewed the ratios and capacity for a licensed large family child care home. The LPA explained CCR 102416.5(d) Staffing Ratios and Capacity to the licensee. The licensee was given a copy of the “Capacity Regulations” brochure for a Large Family Child Care Home and a Small FCCH. The brochure explains the ratio breakdown with images. The licensee stated she understands the ratios and capacity. The licensee stated she understands that ratios and capacity regulations must be respected at all times when children are present to ensure the health, safety, and personal rights of children in care.

The LPA observed the notice of site visit dated 5/22/24 was posted. The LIC9224 receipts for a licensing report dated 5/22/24 were signed and placed in the children’s files.

The LPA conducted an exit interview and reviewed the report with Victoria. A Notice of Site Visit was posted. The licensee understands that the Notice of Site Visit shall remain posted for 30 days. The Appeal Rights were explained. The licensee received a copy of the Appeal Rights (LIC 9058 01/16), their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First-level appeals should be sent to the Regional Manager at the address listed above.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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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