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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115408295
Report Date: 08/27/2024
Date Signed: 08/27/2024 09:39:54 AM

Document Has Been Signed on 08/27/2024 09:39 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:RODRIGUEZ, GUADALUPE & SANCHEZ, RAUL FCCHFACILITY NUMBER:
115408295
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
08/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Guadalupe Rodriguez & Raul SanchezTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 8/27/24 at 9:25am Licensing Program Analyst (LPA), Bianca Mendez conducted a case management facility inspection and met with licensee. This inspection was in response to an application for increased capacity that was received by the Department in 7/15/24. The licensee has requested a capacity increase to 14 children. Fire clearance was granted on 8/12/24

The LPA toured the facility's indoor and outdoor areas. The following areas will be off limits to children: all bedrooms 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 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.

Based on the space/accommodations available at this facility and the fire marshal granting their approval 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 provided and shall remain posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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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