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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585407400
Report Date: 08/16/2021
Date Signed: 08/16/2021 01:13:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:SILVA, MARICELA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407400
ADMINISTRATOR:SILVA, MARICELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 830-6733
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: 6DATE:
08/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Maricela SilvaTIME COMPLETED:
01:15 PM
NARRATIVE
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On 8/16/2021 at 11:25am, Licensing Program Analyst (LPA) Laura Chavez conducted an Annual Random inspection. The facility file was reviewed prior to this visit. A review of the Facility Personnel Report Summary dated 8/16/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Currently two adults reside in the home. The home and grounds were toured, and the licensee was operating within the licensed capacity. No children were observed in parked cars. The licensee's days and hours of operation are Monday-Friday, 6:30am-5:30pm. There is a working telephone in the home. The facility floor plan & yard sketch were verified. The home is clean and orderly, with ventilation for safety and comfort. LPA observed the plate covers to the fireplace in place. The fire extinguisher, smoke detector and carbon monoxide detectors in the home meet the standards required. Detergents, cleaning compounds, medications, and other items which could pose a danger to children are stored and inaccessible to children. Poisons are locked in the garage. The licensee stated there are no firearms and/or other dangerous weapons in the home, and none were observed during today's inspection. A review of children's records found them to contain emergency information as required. The licensee understands that any child showing signs of illness shall be separated from other children. The licensee has not renewed the Mandated Reporter Training as required. The licensee's CPR and First Aid expire 4/2023. The licensee's immunization's are on file.
Report Continued: See LIC809-C
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: SILVA, MARICELA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407400
VISIT DATE: 08/16/2021
NARRATIVE
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The children use the backyard as their outdoor play area. The outdoor play area is completely fenced in. LPA observed an older model swing set that is not anchored to the ground, the gate leading into the side of the home and the mesh which surround the heating and air conditioning unit in need of repair. There is a large swing/climbing/slide structure that has been added to the outdoor playground. The licensee agrees to maintain the climbing structure in good repair and only allow children within the age range requirements. There were no pools or other bodies of water observed in or around the property. This report was reviewed and discussed with the Licensee. 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.

The following violation of the California Code of Regulations, Title 22; Division 12, were cited: see LIC 9099D.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: SILVA, MARICELA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407400
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2021
Section Cited

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Operation of a Family Child Care Home: The home shall provide safe toys, play equipment and materials. LPA observed an older model swing set that is not anchored to the ground. LPA also observed the gate leading into the side of the home and the mesh which surround the heating and air conditioning unit in need of repair.
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This requirement was not met as evidenced by: the licensee not anchoring the swing set to the ground and not maintaining repair to the gate leading into the backyard and the mesh which surrounds the heating and air conditioning unit.

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The licensee agrees to not allow children onto the swing set until anchored to the ground.
Type B
09/30/2021
Section Cited

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A licensed child care provider shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement was not met as evidenced by: the licensee not renewing training of the Mandated Reporter Training.

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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: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2021
LIC809 (FAS) - (06/04)
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