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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293624766
Report Date: 11/04/2024
Date Signed: 11/04/2024 10:17:28 AM

Document Has Been Signed on 11/04/2024 10:17 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CASTRO MIRABEL, NANCIFACILITY NUMBER:
293624766
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
11/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Nanci Castro MirabelTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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At 9:50am on 11/4/2024, Licensing Program Analyst (LPA) Matthew Gallo met with licensee Nanci Castro Mirabel to conduct a plan of correction visit related to a citation issued on 10/28/2024. Upon arrival, LPA observed a census of 2 infants supervised by licensee.

Licensee was previously cited a Type A deficiency on 10/28/2024 for providing care to five infants at one time, which did not adhere to Title 22 regulations regarding ratio. The plan of correction dictated that the licensee will alter enrollment and schedules to ensure that only four infants are present at any one time, and that LPA would return to ensure compliance.

LPA observed a census of two infants during today's visit, which is in compliance with Title 22. The plan of correction for the citation of 10/28/2024 has been fulfilled and is cleared.

Exit interview was conducted and report was reviewed with the facility representative, Nanci Castro Mirabel. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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