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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313623552
Report Date: 03/17/2022
Date Signed: 03/17/2022 03:48:19 PM

Document Has Been Signed on 03/17/2022 03:48 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:FARFAN, LORINDAFACILITY NUMBER:
313623552
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
03/17/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:TIME COMPLETED:
04:00 PM
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On Thursday, March 17th, 2022, at 2:33pm, Licensing Program Analyst (LPA) Blake Morillas conducted a Case Management visit for the purpose of increasing the licensed capacity from 8 to 14 children. Previously the Licensee was operating under the Emergency Child Care Waiver Novel Corona virus 2019 that temporarily authorized her to operate as a Large Family Child Care Home. At 2:38pm, 3 infants, 2 preschool age, and 3 school age children were observed along with the Licensee and her helper.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A Fire Safety Inspection Clearance has been received and the home has been cleared for up to 14 children. At 2:40pm, LPA initiated a health and safety inspection of all areas accessible to children. Before the start of the inspection, the Licensee requested that the Kitchen, which is currently listed as an off-limits area, be made an on-limits area. The Kitchen was inspected and found to be within Title 22 Regulations. The request has been granted and the Kitchen may now be considered an on-limits area. Off-limits areas have been updated and now include the Garage, Second and Third Rooms, Master Bathroom. Licensee acknowledged that children may never enter these off-limit areas.

LPA observed the Licensee's current CPR/First Aid certificates (expires: 8/2023), posted License, Parent's Rights, and current emergency disaster plan. A current roster of the enrolled children and fire drill log was observed. There is a fireplace in the home that is appropriately barricaded. Hazardous items were stored inaccessible to children in care. Licensee stated there are no weapons in the home. Fire extinguisher (2A10BC), carbon monoxide and smoke detector meet regulation. Toys appear to be safe.
Continued on LIC 809-C
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: FARFAN, LORINDA
FACILITY NUMBER: 313623552
VISIT DATE: 03/17/2022
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Continuation of LIC 809

The outdoor play space is partially fenced. The Licensee understands that in unfenced outdoor areas, 100% supervision of children is required. There are no bodies of water on the premises.

Licensee understands that prior to making alterations or additions to the home or grounds, the licensee shall notify the Department of the proposed changes.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

Capacity increase is approved as of Today, 3/17/2022.

The facility is licensed to serve a MAX. CAP(WHEN THERE IS AN ASSISTANT PRESENT): 12 - NO MORE THAN 4 INFANTS. CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.

A notice of site visit was given 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 licensee, Lorinda Farfan.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022
LIC809 (FAS) - (06/04)
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