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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313623667
Report Date: 10/11/2021
Date Signed: 10/11/2021 09:09:10 AM

Document Has Been Signed on 10/11/2021 09:09 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:FARIAS, GABRIELAFACILITY NUMBER:
313623667
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
10/11/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Gabriela FariasTIME COMPLETED:
09:15 AM
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Licensing Program Analyst (LPA) Amanda Blesi met with Licensee Gabriela Farias to conduct a Change of Capacity inspection. The Licensee is requesting an increase from eight to 14 children. Today's census was six children in care; including 1 infant over 12 months and one infant under 12 months. Licensee's spouse and assistant Maricela Cortes was also present.

Off-limit areas include: 3rd bedroom, laundry room and garage. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector. LPA observed the required Licensing postings on the wall and a current CPR/1st aid certification. LPA observed that hazardous items and chemicals were stored inaccessible to children in care. LPA did not observe any bodies of water on the premises and Licensee stated there were no firearms. LPA observed the home was clean, safe, sanitary, and in good repair with appropriate toys for the children. In the areas that were evaluated during today's inspection, the facility is in compliance.

A Fire Safety Clearance was received 10/05/2021 and the home has been cleared for up to 14 children.

Applicant is now approved to operate as a Large Family Child Care Home effective today, 10/11/21. Facility may serve a maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license.

LPA reviewed the report with the Licensee and a copy was provided. Notice of Site was posted and must remain for 30 days.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2021
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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