<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313699
Report Date: 07/14/2022
Date Signed: 07/14/2022 02:01:13 PM

Document Has Been Signed on 07/14/2022 02:01 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:TRIANA, MARIA & URA, JULIEFACILITY NUMBER:
304313699
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
07/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Licensee Ms. Triana, Maria TIME COMPLETED:
02:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Ketki Desai conducted a Case Management-other inspection to check the Bodies of Water (pool) in the back yard.

It was an announced visit and Licensee Ms. Triana, Maria gave the tour of the home and the backyard. The Pool with a Jacuzzi in the backyard.

On today's inspection visit LPA observed the fence is Five feet high and the fence does not obscure the pool from view, the gate swings away from the pool, with a self latching device located on the top of the gate and Licensee has added a lock for additional safety. The fence is not climbable by children.
The day care room is the converted patio room with two sliding doors, ceiling, wooden flooring and surrounding walls. The sliding door on the right side is locked by a bolted lock from outside and it has sliding blinds covering the door with a heavy furniture in front, making the sliding door inaccessible to children, while the other sliding door opens into the back yard for out door activities. There is a window in the bedroom facing the pool which is off limits to the children.
Bodies of Water meets the regulatory requirements. Check list for Bodies of water was completed on today's inspection.

A license to operate a Large Family Child Care shall be issued upon Management approval.
Appeal Rights presented to the Licensee and a Notice of site visit was posted.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1