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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620617
Report Date: 04/13/2020
Date Signed: 04/13/2020 05:03:07 PM

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:SANCHEZ, MARIAFACILITY NUMBER:
573620617
ADMINISTRATOR:SANCHEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 302-7056
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:14CENSUS: 0DATE:
04/13/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Maria SanchezTIME COMPLETED:
12:45 PM
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Due to current COVID-19 State of Emergency, Licensing Program Analyst (LPA) Amy Silva conducted a case management tele-inspection with Licensee, Maria Sanchez via Google Duo. Today’s visit is a subsequent visit regarding the garage fire that occurred after hours at the facility on February 17th, 2020. The purpose of the visit is to ensure all necessary repairs were made and that the facility is deemed to be safe to operate. LPA asked licensee to provide LPA with a tour of her home via Google Duo. The areas of the home that were toured include; the backyard, all bedrooms, hallway bathroom, living room, laundry room, kitchen and garage. Licensee stated the garage will be off-limits. Off-limit areas include: Master bedroom, garage and side yard. Functioning smoke and carbon monoxide detector were observed at 12:25 pm and a 3A10BC fire extinguisher was observed in the kitchen of the home.

Effective today 4/13/2020, licensee is cleared to operate her large family child care home.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2020
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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