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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700056
Report Date: 07/18/2022
Date Signed: 07/18/2022 04:28:35 PM

Document Has Been Signed on 07/18/2022 04:28 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BOYD-VELASCO FAMILY CHILD CAREFACILITY NUMBER:
157700056
ADMINISTRATOR:BETSY/JESICA BOYD-VELASCOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 501-3044
CITY:TEHACHAPISTATE: CAZIP CODE:
93561
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:49 PM
MET WITH:Betsy Boyd, Licensee TIME COMPLETED:
03:11 PM
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 On 07/18/2022, at 1:49 p.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced annual inspection at the Family Child Care Home to assess the Facility operation of their program and current physical plant status. Also, to evaluate the Facility's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. LPA Rodriguez met with Licensee, Betsy Boyd and stated the reason for the inspection. The LPA provided a copy of the Entrance checklist form, LIC 126.

During a previous inspection LPA Rodriguez told provider that to better assure and promote the health and safety of each individual being cared for in licensed setting, the Community Care Licensing Division's (CCLD) is focusing efforts on three priority areas: Prevention, Compliance, and Enforcement; Therefore, CCLD launched the Inspection Process Project (IPP) to meet these goals. As a result it developed the Compliance and Regulatory Enforcement (CARE) Tools for the Child Care Program which is being used during today's inspection. These does not impose any new requirement on the provider. At 1:59 p.m. LPA Rodriguez along with the Licensee conducted a walk trough of the entire family child care facility.

The Facility license is posted on a prominent place of the facility. The facility is licensed licensed to provide day care services to 14 children. The facility is clean, safe and orderly, with heating and ventilation for safety and comfort. The home maintain telephone service (Licensee was advised the cell phone shall be charged and available during day care hours.) The facility has safe age appropriate toys, play equipment and materials for the children care to use. There are no fixtures, furniture, and/or equipment that have been banned or recalled by the United States Consumer Product Safety Commission present or accessible to children at the facility at the time of this inspection.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BOYD-VELASCO FAMILY CHILD CARE
FACILITY NUMBER: 157700056
VISIT DATE: 07/18/2022
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All facility records, children and staff files are complete and properly maintained.

Overall, the Facility is in compliance per Title 22 regulations, no deficiencies cited during this inspection.

An exit Interview was conducted and a copy of this Report and Notice of Site Visit, LIC 9213 were provided to the Licensee.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2022
LIC809 (FAS) - (06/04)
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