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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622474
Report Date: 04/08/2021
Date Signed: 04/08/2021 10:45:42 AM

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:ZAUCHA, JAMILA & ZAUCHA, RUSSELLFACILITY NUMBER:
343622474
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
04/08/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jamila ZauchaTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Kelly Ferrara contacted Licensee Jamila Zaucha at 10 AM to conduct a Change of Capacity inspection. The inspection was conducted via Zoom due to the Covid 19 pandemic. The Licensee is requesting an increase from eight to 14 children. Today's census was six children.

Off-limit areas include: Garage, laundry room, master bedroom and master bathroom. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a pull fire alarm, new front door handle, new back door, and new outdoor gate latch. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector. LPA observed the required Licensing postings on the wall and a current CPR/1st aid certification (expiring 10/22/21). LPA observed that hazardous items and chemicals were stored inaccessible to children in care and poisons were locked. LPA observed the home was clean, safe, sanitary, and in good repair with appropriate toys for the children. In the areas that were evaluated during today's inspection, the facility is in compliance.

A Fire Safety Inspection Clearance has been received from Sacramento Metropolitan Fire Department and the home has been cleared for up to 14 children. Licensee is working on hiring a qualified assistant.

Applicant is now approved to operate as a Large Family Child Care Home as of today, April 8th, 2021. Facility is now licensed to serve a maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license.

A copy of this report was emailed to the Licensee along with a Notice of Site visit.

Acknowledgement of delivery will constitute acknowledgement of the report in lieu of a signature.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
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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