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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407639
Report Date: 08/30/2021
Date Signed: 08/30/2021 01:54:03 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:GALVAN, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
525407639
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
08/30/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Maria GalvanTIME COMPLETED:
11:35 AM
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LPA Mendez conducted a facility inspection on 8/30/21 at 11:00am and met with licensee Maria Galvan.

The Case Management inspection was in response to an application for increased capacity that was received by the department. The licensee has requested a capacity increase to 14 children. Licensee's CPR/First Aid was completed on 11/2019 and expires 11/2021; Mandated Reporter training was completed on 11/2019 and licensee has taken Preventive Health Practices class on 1/11/2020.

LPA Mendez toured the facilities indoor and outdoor areas. The kitchen, dining room/living room and hallway bathroom are accessible. The inaccessible areas include the garage, the four bedrooms including the master bedroom with door knob covers. The licensee was supervising 2 children at the time of the visit and operating within the limitations of her current license ratio. The LPA Mendez reviewed the ratio's for a large license and licensee acknowledged she understood the ratio requirements. The LPA Mendez also reviewed the Safe Sleep and Lead Exposure Testing Flyer with the license.

Based on the space/accommodations available at this facility and the fire marshal granting their approval on 8/20/21 for the 14 children, the capacity increase request is granted. LPA Mendez will process this capacity increase and mail an updated license to reflect this capacity change to 14 children. An exit interview was conducted with licensee.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
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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