<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 485407448
Report Date: 09/17/2021
Date Signed: 09/17/2021 10:42:38 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:ROJAS, ANICIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
485407448
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
09/17/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee, Anicia RojasTIME COMPLETED:
10:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Kirk Marks conducted a case management inspection to the facility in response to an application received on 8/02/2021 requesting an increase in capacity. The requested capacity is 14. During today’s inspection the home and grounds were toured. The licensee was properly supervising three children and operating within the licensed capacity and ratio requirements. Two adults reside in the home. The licensee's days of operation and operating hours are Mon - Fri; 7:30am 5:30pm. The floor and yard plan were reviewed. The house is a one story, three bedroom two bath home. Sharps, cleaning supplies, chemicals, and medications are stored out of the reach of the children. There is a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. Poisons are locked in cabinet in laundry room. The fireplace has been made inoperable and locked. There are no firearms and/or other dangerous weapons in the home and none were observed during this inspection. The children use the back yard as the outdoor play area and it is fully fenced. There is an in ground, pool in the back yard. The pool is fully fenced with approved fencing.
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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk MarksTELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1