<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 065407477
Report Date: 06/23/2021
Date Signed: 06/29/2021 02:16:02 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:MENCIA, CHRISTINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065407477
ADMINISTRATOR:MENCIA, CHRISTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 476-0792
CITY:ARBUCKLESTATE: CAZIP CODE:
95912
CAPACITY:14CENSUS: 11DATE:
06/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Christina MenciaTIME COMPLETED:
01:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/23/2021 at 1:40 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 pool fencing recently installed for a soon to be installed above ground pool. The wrought iron fence is at least 5' high and does not obscure the pool from view. The bottom of the fence is no more than 2" from the ground. The gate is self-closing, self-latching and swings away from the pool. The latching device is no more than 6" from the top. The fencing meets pool fencing requirements. During today's inspection the licensee provided an updated yard sketch showing the area where the pool will be installed.

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: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1