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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274407636
Report Date: 03/05/2020
Date Signed: 03/05/2020 01:25:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SILVA, MARIAFACILITY NUMBER:
274407636
ADMINISTRATOR:SILVA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 442-1618
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:14CENSUS: 5DATE:
03/05/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria SilvaTIME COMPLETED:
01:35 PM
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On 3/5/2020 at 1:00 PM, Licensing Program Analyst (LPA) Susy Cervantes met with Licensee, Maria Silva for a case management visit. Licensee has moved her child care area from a room on the first floor to the living room. Licensee and her assistant Araceli were present with five children: one infant and four preschool age.

LPA inspected the living room where the children were currently laying down for nap time. LPA observed sufficient materials, toys, and play equipment for the children in care as well as safe healthful, and comfortable accommodations, furnishings, and equipment. LPA observed the room, right side of the house with double doors, that was previously used for the children in care is now closed and inaccessible to children, one door knob has a cover, licensee stated that the door without the cover is locked from the top. The room is now used for licensee's sister in law.

An exit interview was conducted with Licensee in Spanish. Licensee was given appeal rights.

No deficiencies were cited during today’s inspection.

Notice of site visit must remain posted for 30 days
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
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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