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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 065406223
Report Date: 06/14/2021
Date Signed: 06/14/2021 04:14:29 PM

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:SANTILLAN, MELISSA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065406223
ADMINISTRATOR:SANTILLAN, MELISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 723-4102
CITY:WILLIAMSSTATE: CAZIP CODE:
95987
CAPACITY:14CENSUS: 6DATE:
06/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Melissa SantillanTIME COMPLETED:
04:15 PM
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On 6/14/2021 at 3:40 pm, Licensing Program Analyst (LPA) Laura Chavez conducted a case management inspection to the facility. The inspection is in response to the licensee requesting approval of an above ground pool recently installed in the backyard. Above ground pool fencing has been installed around the entire perimeter of the top of the pool. The pool with the pool fencing measures 5' 2". The ladder to access the pool has been removed. Locks have been installed at the top and bottom of the sliding glass door to prevent children from accessing the backyard without adult supervision.

On June 10, 2021 LPA received an updated Facility Yard Sketch showing the pool located in the back yard.

The pool meets pool fencing requirements. The licensee has been granted approval for children to use the backyard as their outdoor play area.

This report was reviewed and discussed with the licensee. 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.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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