115408221-5-19-2023-13-CC-BMEZ-CRYL4S-20230519082600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 115408221
Report Date: 05/19/2023
Date Signed: 05/19/2023 08:26:04 AM

Document Has Been Signed on 05/19/2023 08:26 AM - 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	PADILLA, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	115408221
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 3	DATE:	05/19/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:04 AM
MET WITH:	Maria Padilla		TIME COMPLETED:	08:30 AM

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Licensing Program Analyst, LPA Mendez conducted a case management inspection on 5/19/23 at 8:04am. 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. A fire clearance was granted on 4/28/23.

The LPA toured the facility's indoor and outdoor areas. The off-limits areas of the home are the three bedrooms and master bathroom and have been made inaccessible by use of door knob covers. The children use the back yard as the outdoor play area and it is fully fenced. There were no pools or other bodies of water observed in the yard. The licensee was supervising 3 children at the time of the visit, and was operating within capacity. 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 although the provider does not currently have infants enrolled and the provider has an assistant.

Based on the space/accommodations available at this facility and the fire marshal granting their approval on 4/28/23 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.

Notice of Site Visit was given to licensee to post for 30 days.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

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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