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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412850
Report Date: 11/14/2024
Date Signed: 11/14/2024 03:29:44 PM

Document Has Been Signed on 11/14/2024 03:29 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:IBARRA, ROCIOFACILITY NUMBER:
434412850
ADMINISTRATOR/
DIRECTOR:		IBARRA, ROCIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 251-2084
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
11/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Rocio IbarraTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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Licensee Program Analysts (LPAs) Deanna Villagrana and Andy Yang met with licensee Rocio Ibarra for a case management visit. LPAs explained the reason for the visit. Present were licensee, adult son, her two assistants Cristina Ibarra and Margarita Maldonado Topete and six day care children including two infants.

LPAs toured the indoor and outdoor areas of the home during today’s inspection. LPAs observed that the home is clean and orderly, with heating and ventilation for safety and comfort of the children. LPAs delivered an amended report for report dated 07/19/2024.

No deficiency was cited.

A notice of site visit was given to Rocio Ibarra and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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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