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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274414710
Report Date: 10/22/2024
Date Signed: 10/22/2024 04:03:24 PM


Document Has Been Signed on 10/22/2024 04:03 PM - It Cannot Be Edited

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:RINCON, DIANAFACILITY NUMBER:
274414710
ADMINISTRATOR:RINCON, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 757-1223
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:14CENSUS: 11DATE:
10/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Diana RinconTIME COMPLETED:
04:05 PM
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Licensing Program Analyst (LPA) Elizabeth Larios met with, Licensee Diana Rincon, for an unannounced annual/random inspection. LPA observed eleven children in the home during today's inspection, two assistants. Licensee's state they currently cares for children ages 0 months to 12 years old. LPA observed the required postings, including the facility license, near the front entrance to the home. Days and hours of operation are Monday - Friday from 5:30 AM to 5:30 PM. The adults and minors residing in the home is Licensee, spouse, and minor children.

LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. The last fire/disaster drill was completed on, September 23, 2024. Licensee states she does have liability insurance.

LPA will resume inspection at a later time.

Exit interview conducted and report was reviewed with both Licensees, Diana Rincon.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2024
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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