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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617898
Report Date: 07/19/2022
Date Signed: 07/19/2022 12:39:42 PM


Document Has Been Signed on 07/19/2022 12:39 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:LIMON, ALMA & ALCANTAR, MARIAFACILITY NUMBER:
343617898
ADMINISTRATOR:A.LIMON/M.ALCANTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 285-7930
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 18DATE:
07/19/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Alma AlcantarTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Fabiola Diaz and Licensing Program Manager (LPM) Roxana Saravia conducted a POC inspection on today's date. Two type A deficiencies were cited on 7/12/22 for over capacity and for licensee Alma not residing in the home.

On today's date, licensee Alma explained that she moved into the home and she had sent photos to LPA on 7/13/22 of her belongings in the home. LPA had not received the photos. LPA observed the text of the photos on today's date on licensee's (Alma) phone. LPA and LPM conducted a tour of the facility, in which licensee Alma explained where she keeps her belongings and in what bedroom Alma is staying. The POC regarding licensee not living in the home was corrected on today's date.

Upon arrival at the facility, LPA and LPM observed 18 children in care. The POC regarding over capacity was not cleared as of today. A Civil Penalty for failure to correct was assessed from 7/13/22 through 7/19/22.

A Notice of Site visit was provided. An exit interview was conducted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Fabiola DiazTELEPHONE: (916) 206-9352
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
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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