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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621667
Report Date: 07/27/2021
Date Signed: 07/27/2021 03:33:08 PM

Document Has Been Signed on 07/27/2021 03:33 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:PIEDMONT, MARLENEFACILITY NUMBER:
343621667
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
07/27/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Marlene PiedmontTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Kelly Ferrara met with Licensee Marlene Piedmont at 2:40 PM to conduct a Change of Capacity inspection. The Licensee is requesting an increase from eight to 14 children. Today's census was five children with the Licensee and an assistant.

Off-limit areas include: Garage, shed, all bedrooms, and kitchen. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector, and new pull fire alarm. LPA observed the required Licensing postings on the wall and a current CPR/1st aid certification (expiring 12/2022). LPA observed that hazardous items and chemicals were stored inaccessible to children in care. LPA observed firearms were stored and locked according to regulations. 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 Inspection Clearance has been received from Sacramento Metropolitan Fire Department and the home has been cleared for up to 14 children.

Applicant is now approved to operate as a Large Family Child Care Home as of today, July 27th, 2021. Facility is now licensed to 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.

Exit interview was conducted and a copy of the report was provided. Notice of Site was posted and must remain posted for 30 days.

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2021
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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