Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619282
Report Date: 05/27/2015 12:00:00 AM
Date Signed 05/27/2015 01:31:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LAVENANT, OLGA FAMILY CHILD CAREFACILITY NUMBER:
376619282
ADMINISTRATOR:OLGA LAVENANTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 781-5702
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 12DATE:
05/27/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Olga LavenantTIME COMPLETED:
01:30 PM
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(2)LPA Armando Locano completed an un-announced annual site inspection today. The purpose of the visit is to ensure the facility is maintaining the health and safety standards as required by CCR, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. Met with licensee Olga Lavenant, 12 daycare children were present and cleared adult helper. Children’s records were reviewed, required forms were in order including up to date roster. There is an operational Type II 10ABC fire extinguisher and working smoke alarms maintained in the home. CPR & First Aid Certificates were up to date. Licensee has updated the outdoor play area, by adding additional outside carpeting under activity table areas for additional safety.

Reviewed with licensee SIDS and Shaken Baby Syndrome information, and explained clearance requirements for persons over 18 residing in the home.

A review of staff records on May 27, 2015 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Reviewed with licensee current Crib requirement which will take effect on 12/28/12 and new car seat regulations which became effective 1/1/12.

There are no deficiencies cited on this visit, all paperwork was in order and the home has been properly childproofed.
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2015
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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