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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455404876
Report Date: 09/12/2019
Date Signed: 09/12/2019 12:29:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:GUIN, JEANETTE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455404876
ADMINISTRATOR:GUIN, JEANETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 347-5547
CITY:COTTONWOODSTATE: CAZIP CODE:
96022
CAPACITY:14CENSUS: 7DATE:
09/12/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Jeanette GuinTIME COMPLETED:
12:30 PM
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An increased monitoring case management inspection was conducted by Licensing Program Analyst (LPA) Chris Krogstad and Licensing Program Manager (LPM) Erin Virrueta to ensure compliance of regulation deficiencies issued regarding the clean and sanitary condition of the home, accessible bodies of water (kiddie pools) and ratio violations. A non-compliance conference was requested with the licensee in December 2018, but the licensee was not able to attend.

Upon arrival, the licensee was observed arriving to the home transporting seven children, to include two infants in her van with her 17 yr old assistant and was operating within capacity and ratio requirements. During today's inspection, the home and grounds were toured. The condition of the home submitted in photos as a plan of correction by the licensee in December 2018 was consistent with the condition of the home during today's inspection. LPM Virrueta discussed with the licensee that the condition of the home observed today is the minimum acceptable standard for a licensed Family Child Care Home and shall be maintained at all times child care is provided. There were no bodies of water observed. The licensee was advised that any further serious violations of Title 22 Regulations may result in the facility being referred to our Legal Department for possible administrative action.

This report was reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen KrogstadTELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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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