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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136609621
Report Date: 08/12/2021
Date Signed: 08/12/2021 05:25:45 PM

Document Has Been Signed on 08/12/2021 05:25 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ESCOBAR, FABIOLA FAMILY CHILD CAREFACILITY NUMBER:
136609621
ADMINISTRATOR:FABIOLA ESCOBARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 337-9541
CITY:HEBERSTATE: CAZIP CODE:
92249
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
08/12/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Fabiola Escobar, ProviderTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) D. Sanchez made an unannounced Case Management inspection in response to the request in opening room #3 for daycare area. LPA was greeted and allowed entry into the facility by Fabiola Escobar who was advised of the purpose of today’s inspection. LPA accompanied by Fabiola conducted a general overall inspection of main daycare room and room #3. Present in the facility were 8 children and two staff.

Room #3 is located in the middle between bedroom #1 & #2. Provider stated that she will be using room #3 for isolation, in case a child becomes sick. Provider also stated she will ensure to provide supervision in room #3 until parent arrive to the facility for pick up.
It is to be noted that room #3 has been granted to be use for child care purposes effective today 8/12/2021.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

No deficiencies were cited during today's inspection. An exit interview was conducted with Fabiola Escobar and a copy of this report left at the facility.

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

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2021
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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