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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500554
Report Date: 04/01/2022
Date Signed: 04/01/2022 10:17:47 AM


Document Has Been Signed on 04/01/2022 10:17 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: 0DATE:
04/01/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria Tovar GarciaTIME COMPLETED:
10:30 AM
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On 4/1/22 at 9:30am Licensing Program Analyst (LPA) Aruna Sridharan and Licensing Program Manager (LPM) Justin Denton met with licensee Maria Tovar Garcia. LPA Fabiola Diaz was remote via Facetime to do the translation in Spanish as licensee is Spanish speaking.

The pool fence meets Title 22 regulations 5 feet fence around the pool and self latching date. The pool fence gate should not be locked during daycare hours. The offlimits are entire bedrooms downstairs, upstairs, storage and backyard. The gate leading to the offlimits back yard area from the side of the house and the grill gate on the sliding door will be locked during daycare hours. The children will have 100% supervision while using the bathroom from the entrance door.

The licensee has provided Mandated Reporter certificate and proof of enrollment to lead module The licensee provided updated sketches with the storage in the side of the house.

As of 04/01/22 the facility is approved for a change of location as of today.
Notice of Site Visit was posted.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:
DATE: 04/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/01/2022
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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