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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494692
Report Date: 02/24/2022
Date Signed: 02/24/2022 12:39:13 PM

Document Has Been Signed on 02/24/2022 12:39 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:RAPHAEL FAMILY CHILD CAREFACILITY NUMBER:
197494692
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
02/24/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Licensee Sarah RaphaelTIME COMPLETED:
01:00 PM
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On 2/24/22 at 11:15 am Licensing Program Analyst Lisa Rios went to the Raphael Family Child Care home for a capacity increase inspection for a large family child care . The facility has a completed 850 Fire Inspection report, a pull down fire alarm with light was added, no corrections are needed to the home. Days and hours of operation are Monday-Friday from 8:00am-5:00pm serving children 2 years-6 years old.

LPA Rios completed a tour of the home inside and outside as well. The children enter in the morning through a front yard in the front of the of the house. There are Covid-19 posters on an easel in the front next to the table for signing in along with a wellness station that ahs masks, hand sanitizer and a thermometer for temperature checks. The licensee will increase capacity for 14 children and a flyer was given to show how many children and their ages can be admitted to care.

Child care is provided in the two front yards and the den has been made into a classroom. There is a single bathroom just past the den. Inside and outside the home has substantial toys and equipment for the increase in children. LPA Rios stated that licensee could reopen the sand box located in the first front yard due to Covid-19 restrictions being lifted regarding stable cohorts and social distancing per PIN 23-03-CCP dated 2/8/22. Masks are no longer required to be worn while outside but at all times when inside. There are numerous tables and chairs both inside and outside for eating. The rear portion of the house, the backyard, and the basement are all off limits from children in care and made inaccessible with locked doors and a locked gate. . There are 14 mats for all children to nap on.

A copy of this report will be given to the licensee and a new license will be emailed and sent in the mail.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Lisa Rios
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: RAPHAEL FAMILY CHILD CARE
FACILITY NUMBER: 197494692
VISIT DATE: 02/24/2022
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Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Lisa Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022
LIC809 (FAS) - (06/04)
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