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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620842
Report Date: 07/22/2020
Date Signed: 07/22/2020 03:53:15 PM

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:ITURRIZAGA, CLAUDIAFACILITY NUMBER:
343620842
ADMINISTRATOR:ITURRIZAGA, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 519-3034
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:14CENSUS: 4DATE:
07/22/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Claudia IturrizagaTIME COMPLETED:
03:52 PM
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Licensing Program Analyst (LPA) Kelly met with licensee at 2:15pm for a case management via FaceTime Tele-inspection due to COVID-19 emergency. There were 4 day care children present.

LPA made an inspection to the home to inspect the fence and gate that was installed for the new above-ground pool in the backyard. The backyard is fenced and the above-ground pool is 4 ft tall by itself, the fence on top of the pool surrounding the pool is a Doheny's Above Ground Pool Fence style, fence section measures 64.5" W x 1.5" D x 24" H. A gate was installed and is 5 feet tall for the pool and it self-closes and self-latches and has an alarm.

As you exit the backyard door from inside the home to the backyard, the pool is blocked on left side by a permanent or build in shed with no windows and on the right side, is the self-closing gate. (the are pictures of the pool in a separate 812). LPA made the inspection via FaceTime and it appeared that there is no apparent access to the pool area. Licensing acknowledged that she must provide 100% supervision by an adult when children are in the backyard.


This report was provided to licensee to be signed and returned to LPA via email.


SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Socorro KellyTELEPHONE: (916)216-7792
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2020
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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