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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376630012
Report Date: 07/12/2024
Date Signed: 07/12/2024 02:57:34 PM

Document Has Been Signed on 07/12/2024 02:57 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SENAT, STEPHANE FAMILY CHILD CAREFACILITY NUMBER:
376630012
ADMINISTRATOR/
DIRECTOR:
STEPHANE SENATFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 376-7977
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/12/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Stephane SenatTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On July 12, 2024, at 1:25 pm, Licensing Program Analyst (LPA) Angela Nguyen conducted an announced final pre licensing inspection and met with applicant, Stephane Senat to verify corrections observed during the initial pre licensing inspection on 7/9/2024. LPA disclosed the purpose of the inspection and was granted entry into the facility. This one story 4 bedroom, 2 bathroom home was toured and inspected. Applicant will use the following areas for child care: living room, kitchen, dining room, bedroom #4, bathroom #2, and fenced area in the backyard. Off limits areas include: Master bedroom #1 with attached bathroom, bedroom #2 and bedroom #3, garage, the additional portion of the backyard beyond the fence. The off-limit areas are made inaccessible to day care children by the use of doorknob covers on the exteriors of the doors and a fence to separate the outdoor play area from the additional area of the backyard.

The following corrections have been completed:

· Applicant made bedroom #3 inaccessible to daycare children by use of doorknob cover. LPA observed a door knob cover on exterior of bedroom #3.
· Update form LIC 9150 Notification of Additional Children in Care for all current day care children. LPA reviewed children files.
· Applicant to provide immunization records for Helper. Applicant provided immunization records for helper. LPA reviewed immunization records to be complete.

An exit interview was conducted, and this report was reviewed with the applicant, Stephane Senat.
A Large Family Child Care Home license may be issued upon final file review. A copy of the report was provided to the applicant.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2024
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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