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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620617
Report Date: 06/19/2023
Date Signed: 06/19/2023 03:23:01 PM


Document Has Been Signed on 06/19/2023 03:23 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:SANCHEZ, MARIAFACILITY NUMBER:
573620617
ADMINISTRATOR:SANCHEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 302-7056
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:14CENSUS: 5DATE:
06/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Maria SanchezTIME COMPLETED:
03:30 PM
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On June,19 2023, Licensing Program Analysts (LPAs), Jennie Tedlos and Lauren Scott met with license, Maria Sanchez for an inspection of plan of correction. Purpose of the inspection was explained. During today's inspection, LPAs inspected the day care areas.

On June 14,2023, the facility was cited a Type A deficiency due to the pool gate not meeting Title 22 Regulations. The facility was also cited a Type B deficiency due to an expired mandated reporter certificate. The deficiencies cited on June 14, 2023 is cleared by today's field visit. A Proof of Correction letter was provided to Maria Sanchez.

In the areas that were evaluated, no deficiencies were cited. An exit interview was conducted, and the report was reviewed, with Licensee. Licensee Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 215-3003
LICENSING EVALUATOR NAME: Jennie TedlosTELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 06/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2023
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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