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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585407952
Report Date: 06/22/2022
Date Signed: 06/22/2022 10:03:55 AM

Document Has Been Signed on 06/22/2022 10:03 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:WALTERMIRE, DESTINY FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407952
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
06/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee, Destiny WaltermireTIME COMPLETED:
10:15 AM
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On 6/22/2022 at 9:30am Licensing Program Analyst (LPA) Kirk Marks conducted a licensee initiated case management inspection in regards to an application for increased capacity that was received by the Department. The licensee had requested a capacity increase to 14 children. The facility operates Monday through Friday, 7:00am to 5:00pm.
At 9:40am, LPA toured the facilities indoor and outdoor areas. Children have access to the Family room, Living room, Dining room kitchen and downstairs bathroom. The off-limit areas are the downstairs bedroom and the entire upstairs which includes three bedrooms and two bathrooms and are made inaccessible via door locks and safety gate. The back yard is the outdoor play area and it is completely fenced. There are bodies of water at the home. The licensee was supervising three children and was operating within the limitations of her current licensing ratios. The LPA reviewed the ratios for a large license and the licensee acknowledged she understood the ratio requirements.
The capacity increase for 14 children will be granted upon completion of fire clearance by the fire inspector, which is scheduled for 6/24/2022. An exit interview was conducted with Licensee.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2022
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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