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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 065407853
Report Date: 05/10/2021
Date Signed: 06/29/2021 03:34:48 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:SILVA, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065407853
ADMINISTRATOR:SILVA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 237-9632
CITY:COLUSASTATE: CAZIP CODE:
95932
CAPACITY:14CENSUS: 11DATE:
05/10/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Maria SilvaTIME COMPLETED:
04:40 PM
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On 5/10/2021 at 4:15pm, Licensing Program Analyst (LPA) Laura Chavez conducted a case management inspection in response to the licensee's request to include the portion of the garage that has been converted into a playroom. An updated Facility Sketch was received on 5/5/2021. The inspection was conducted via tele-inspection due to the current State of Emergency caused by COVID-19. A fire inspection approval for the added playroom was received on 5/7/2021. During today's tele-inspection LPA toured the playroom. A wall has been installed to divide the 3-car garage. A lock has been installed on the door leading from the playroom into the garage. LPA observed wall-to-wall carpeting and installation of heating and air conditioning. A fire alarm system has been installed as well as adding an additional fire extinguisher in the playroom. Additionally, the licensee has posted the required information including COVID-19 related posters. The licensee stated that she continues to implement best practices to prevent and contain the spread of COVID-19. The licensee's certification for CPR/First Aid expires 10/1/2022. All licensing reports are public information and must be made available upon request. 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.

There were no Title 22 deficiencies cited during today's tele-inspection, therefore, use of the added playroom is hereby granted.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2021
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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