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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525408307
Report Date: 05/31/2023
Date Signed: 05/31/2023 09:38:36 AM

Document Has Been Signed on 05/31/2023 09:38 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:CASTREJON-NAJERA, GUADALUPE FAMILY CHILD CARE HOMEFACILITY NUMBER:
525408307
ADMINISTRATOR:CASTREJON-NAJERA,FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 727-2605
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/31/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Guadaluoe Castrejon NajeraTIME COMPLETED:
09:48 AM
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A prelicensing inspection was conducted today at 8:55 am by Licensing Program Analyst (LPA), Mendez LPA met with licensee. The applicant Guadalupe Castrejon Najera is requesting a change of location license for a capacity of 14. The facility will operate Monday-Saturday, 6am to 6pm. A fire clearance was granted on 5/30/23. The residence is a 3 bedroom, 2 bathrooms, one story home. There are two adults in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: Three bedrooms, dining room and kitchen will be off limits. These areas have been made inaccessible by means by baby gate and bedrooms will have door knob covers. The home has a converted garage into daycare room with heating and cooling ventilation. Poisons will be locked in the shed. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The children will use the backyard as the outdoor play area. The backyard is fenced and licensee understands that children need to be supervised at all times.. There is no pool, spa, pond, fountain, or any other body of water on the premises.

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2023
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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