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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216138
Report Date: 08/11/2022
Date Signed: 08/11/2022 04:22:54 PM

Document Has Been Signed on 08/11/2022 04:22 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ORTEGA FAMILY CHILD CAREFACILITY NUMBER:
426216138
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
08/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:53 PM
MET WITH:Ashley OrtegaTIME COMPLETED:
04:35 PM
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On August 11, 2022 at 3:55 PM, Licensing Program Analyst (LPA) Frank Pedroza conducted an unannounced Case Management inspection. LPA met with licensee Ashley Ortega and advised her the purpose of the inspection. Licensee provided LPA a tour of the home. There was four (4) children in care at the time of the inspection.

Community Care Licensing (CCL) received an application from licensee on 7/12/22 requesting an increase in capacity. CCL submitted a fire clearance request to Lompoc Fire Department (LFD) on 07/12/22. On 7/29/2022 the facility received an approved fire clearance from LFD. Originally licensee was using their garage for care. Licensee advised that she was informed by the LFD that she is not allowed to conduct care for children in the garage. Licensee will be using one (1) bathroom, two (2) bedrooms, the living room, kitchen, and the backyard for children in care. LPA did not observe any concerns during today's inspection.

Effective today August 11, 2022 facility is approved to be a Large Family Child Care with a maximum capacity of 14 children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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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