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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407711
Report Date: 05/30/2023
Date Signed: 05/30/2023 11:53:58 AM

Document Has Been Signed on 05/30/2023 11:53 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:ALCALA, CHARITY FAMILY CHILD CARE HOMEFACILITY NUMBER:
525407711
ADMINISTRATOR:ALCALA, CHARITYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 526-2412
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
05/30/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Charity AlcalaTIME COMPLETED:
12:00 PM
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On 5/30/2023 at 11:25 am a Case Management inspection was made to the facility by Licensing Program Analyst (LPA), Mendez and met with licensee Charity Alcala. The inspection is made in response to the licensee having a fence installed around an above ground pool. The fence is a 6 foot chain link fence enforced with a 5ft galvanized fencing which is less than 1 3/4 opening which does not obscure the pool from view. The gate swings away from the pool, self-closes and has a self-latching device located no more than six inches from the top of the gate. Licensee has door alarms installed inside the home and one located on the gate of the pool. Licensee has cameras installed outside to detect any motion near the pool fencing. LPA informed licensee that the fence must be in good repair at all times.

No deficiencies were cited during today's visit.

All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2023
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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