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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115408029
Report Date: 11/10/2022
Date Signed: 11/10/2022 01:23:48 PM

Document Has Been Signed on 11/10/2022 01:23 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:ZAPATA-MATA, JESSICA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115408029
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
11/10/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Jessica Aapata-MataTIME COMPLETED:
01:30 PM
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Licensing Program Analyst, Snow conducted a case management facility inspection on 11/10/22 at 12:45pm. This inspection was in response to an application for increased capacity that was received by the Department. The licensee has requested a capacity increase to 14 children. LPA met with Jessica Aapata-Mata and toured the facility.

The LPA toured the facility's indoor and outdoor areas. The off-limits areas of the home are the three bedrooms and made inaccessible by door knob covers. The LPA reviewed the ratio's for a large license and the licensee acknowledged she understood the ratio requirements. The LPA also reviewed the Safe Sleep requirements with provider. Provider has a full time assistant and has required forms for assistant.



Licensee's CPR/First Aid was is current. Based on the space/accommodations available at this facility and the fire marshal granting their approval on 11/4/22 for the 14 children, the capacity increase request is granted. LPA will process this capacity increase and mail an updated license to reflect this capacity change to 14 children. An exit interview was conducted with licensee. Licensee for 14 is effective on 11/14/22.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2022
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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