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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500400
Report Date: 03/11/2022
Date Signed: 03/11/2022 12:55:29 PM

Document Has Been Signed on 03/11/2022 12:55 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:GUARDADO DE RODRIGUEZ, ANALUISAFACILITY NUMBER:
574500400
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
03/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Licensee, Analuisa Guardado de RodrigruezTIME COMPLETED:
01:00 PM
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Licensing Program Analysts (LPAs) Chayntel Hunter and Lauren Scott met with Licensee, Analuisa Guardado de Rodriguez for the purpose of a case management inspection. The purpose of today's visit is to change Licensee's living room and side yards from off limits to on limits. Census at the time of inspection was two children. Licensee's operating hours are Monday through Friday from 6:30 AM. to 6 PM.

All individuals subject to criminal background review have obtained a criminal record clearance. Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPAs toured all areas accessible to children. Toxic and hazardous items are inaccessible to children. As of today 03/11/2022 the living room and side yards will be changed to an on limits areas, accessible to children in care. Licensee has requested to make the following off limit areas: master bedroom and bathroom, rooms 1 & 2, the garage and the shed.

This facility evaluation report was reviewed and discussed with Licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2022
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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