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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585405294
Report Date: 02/23/2023
Date Signed: 03/09/2023 11:19:50 AM


Document Has Been Signed on 03/09/2023 11:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:OCHOA, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585405294
ADMINISTRATOR:OCHOA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 741-2578
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: 12DATE:
02/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Maria Ochoa, LicenseeTIME COMPLETED:
11:50 AM
NARRATIVE
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On 2/23/23 @ 9:27am Licensing Program Analyst's (LPA) E. Laird and P. DiGenova conducted an unannounced case management visit. The department received a report of an incident which occurred on 2/15/23 involving a child that wandered away from the facility. LPA conducted an interview with licensee which determined the incident was not reported to the department within the required time frames as specified in CCR 102416.2(b)(3)(c).
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Erica LairdTELEPHONE: 530-895-5045
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
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 2


Document Has Been Signed on 03/09/2023 11:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926


FACILITY NAME: OCHOA, MARIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585405294

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2023
Section Cited

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102416.2(b)The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.(3)Health and Safety Code Section 1597.467(b)(1) provides in part:(c)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child."
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The licensee agrees to review Reporting Requirements Video’s on the department website. The licensee will send to CCL the topics of training; dates and signatures of trained staff by 3/23/23.
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This requirement was not met as evidenced by: Based on interviews, Licensee did not report a child who left the facility as required by the aforementioned regulations.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Erica LairdTELEPHONE: 530-895-5045
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
LIC809 (FAS) - (06/04)
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