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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475407207
Report Date: 06/07/2021
Date Signed: 06/08/2021 08:02:38 AM

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:QUINTANILLA, TAMMY FAMILY CHILD CARE HOMEFACILITY NUMBER:
475407207
ADMINISTRATOR:QUINTANILLA, TAMMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 755-3660
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY:14CENSUS: 10DATE:
06/07/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Tammy QuintanillaTIME COMPLETED:
03:00 PM
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The facility inspection was conducted via video due to the current state of emergency regarding the COVID-19 outbreak. On 6/7/21 at 2:15pm, Licensing Program Analyst (LPA) Snow conducted an unannounced inspection per the licensees request to add a pool on the property. The LPA met with licensee, Tammy Quintanilla, toured the yard with the LPA. The pool was observed to be above ground and fully surrounded with pool fencing. The fencing is over 5 feet high and non climbable with a self closing gate.
and met with licensee.
The pool fencing meets the requirement and is approved.


No violations observed.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2021
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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