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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700491
Report Date: 06/16/2021
Date Signed: 06/22/2021 09:41:10 AM

Document Has Been Signed on 06/22/2021 09:41 AM - 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:MAJUAN FAMILY CHILD CAREFACILITY NUMBER:
197700491
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
06/16/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maidelin Majuan, ApplicantTIME COMPLETED:
04:00 PM
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This is an Amended report to update the requirement of a minimum of 2 inches above the ground gate for the swimming pool. The swimming pool fences from the bottom left side of the gate is 4 inches above the ground and meets Title 22 Regulation requirements for follow up Pre-Licensing on 06/16/2021; Amended on 06/21/2021 by LPA Monique Ayala.

On June 16, 2021 at 3:00PM Licensing Program Analyst (LPA) Monique Ayala and Licensing Program Manager (LPM) Mariela Ramon conducted a follow up Prelicensing Inspection for Majuan Family Child Care Home. LPA and LPM met with applicant Maidelin Majuan, who guided the LPA and LPM on a tour of the home. All adults residing in the home are fingerprint cleared and associated to the facility.



During the pre-licensing inspection conducted on 06/12/2021, the following corrections were required:
- Operable Carbon Monoxide Detector
- Obtain a Fire extinguisher (2A10BC)
- Swimming Pool must meet Title 22 Regulations, swimming pool gate did not self close and self latch.

During today's inspection the following corrections were observed:
- Applicant obtained operable Carbon Monoxide Detector
- Applicant obtained a Fire extinguisher (2A10BC)
- LPA and LPM observed the swimming pool gate open away from the body of water and it self-latches and self-closes.

During this follow up pre-licensing inspection, LPA and LPM observed the swimming pool gate located on the left side of the pool has a step reducing the height of the gate to 4 feet. The fence is 4 inches above the ground which is surrounded by cement and meets Title 22 Regulations. Applicant stated she will increase the height of the gate to measure 5 feet in height. Applicant stated the gate will be ready for inspection in 2 weeks.

An exit interview was conducted, and a copy of this report was read was provided to applicant on 06/16/2021.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
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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