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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005278
Report Date: 11/19/2021
Date Signed: 12/08/2021 03:56:36 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MAJOULET, HEATHERFACILITY NUMBER:
214005278
ADMINISTRATOR:MAJOULET, HEATHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 225-5770
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:14CENSUS: 7DATE:
11/19/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Heather MajouletTIME COMPLETED:
11:45 AM
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 11/19/21 at 10:45am Licensing Program Analyst (LPA) Haydee Caliboso conducted an unannounced plan of correction (POC) inspection regarding a substantiated complaint. LPA met with the Licensee, Heather Majoulet. The purpose of the inspection was explained. Present in the home during the inspection were the Licensee, Assistant Teacher, and 7 preschool age children.

On 10/26/21 Licensee was cited for over capacity. LPA obtained and observed children’s timecards and sign in and out sheets that in the month of September, Licensee had a total of 17 children enrolled including 1 infant during morning/daytime and in the evening time in September 2021. Licensee did not comply with Title 22 Regulations under section 102416.5(1)(2)(a)(b). LPA issued a Type A citation for operating over licensed capacity limits. A POC was created with Licensee.

As of 11/19/2021 at 10:45am, LPA observed the Licensee to be operating with 7 enrolled preschool children. During today's inspection, LPA reviewed licensee's current roster and children's records. LPA confirmed licensee to be operating within licensed capacity limits on this date.

Plan of Correction cited on 10/26/21 has been cleared. No deficiencies cited today.

After today’s inspection, an exit interview was conducted with Licensee, Heather Majoulet. This report is public and can be reviewed. A copy of this report will be provided to the licensee with a Notice of Site Visit, Appeal Rights and Procedures via email. Licensee was reminded that the Notice of Site Visit shall be posted in a prominent place in facility for 30 days during the hours of operation. Failure to maintain postings as required will result in a civil penalty of $100.
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650)266-8864
LICENSING EVALUATOR NAME: Haydee R CalibosoTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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