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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500554
Report Date: 03/22/2022
Date Signed: 03/22/2022 11:41:33 AM


Document Has Been Signed on 03/22/2022 11:41 AM - 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:TOVAR GARCIA, MARIAFACILITY NUMBER:
394500554
ADMINISTRATOR:TOVAR GARCIA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 986-8824
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY:14CENSUS: 1DATE:
03/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria Tovar GarciaTIME COMPLETED:
11:50 AM
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At 10:00 am Licensing Program Analysts (LPAs) Aruna Sridharan and Marivel Hernandez and Licensing Program Manager (LPM) Jeanne Smith met with licensee to inspect the pool.
LPAs and LPM discussed the fencing requirements for the pool with licensee. In today's inspection the pool is accessible from the house sliding door and windows from the off limit bedrooms, additional metal gate which has entry to pool. LPM recommended for either pool fence or pool cover that would meet regulations. Licensee agreed to install a fence around the pool or pool cover. LPA Sridharan provided Pool regulations and Bodies of Water checklist for licensee .

LPA took pictures of the pool area.

Licensee can watch children from only one family. Before license can be issued, the licensee Maria Tovar Garcia must meet fencing requirements for the pool.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2022
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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