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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407353
Report Date: 03/14/2025
Date Signed: 03/14/2025 01:08:59 PM

Document Has Been Signed on 03/14/2025 01:08 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CHIPRES, MARIA LOURDESFACILITY NUMBER:
073407353
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
03/14/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Maria ChipresTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 3/14/225 at 10:15AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived to the home on another matter and conducted on a case management inspection- deficiencies. LPAs met with Licensee Maria Chipres, present in care were two infants and three preschoolers.

Upon entering the child care LPAs knocked on the first door after entering through the gate on the left side of the house and observed two infants and two preschoolers in care. LPA observed the licensee was using a converted garage to care for the children which is an off limit area to children. Licensee stated "she has been using the garage for about two to three days because it has been raining."

LPAs did a walk through of the converted garage and inspected the space, as of today LPAs have cleared the garage as an on limit area that can be used as an extra activity area for the children in care.

Around 11:50am, LPA Loza observed a preschooler in a high chair crying and banging his/her head against the back of the high chair. Licensee confirmed that this is the way she provides lunch to the child, because if not then the child would walk around and she would have to follow the child and feed the child. Licensee also stated that at times the child likes to climb into the high chair and will eat lunch without crying.


See deficiencies cited on the 809D

Exit interviewed conducted by LPA Loza with Licensee
Report, Appeal Rights and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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Document Has Been Signed on 03/14/2025 01:08 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 03/14/2025 at 12:38 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHIPRES, MARIA LOURDES
FACILITY NUMBER: 073407353

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2025
Section Cited
CCR
102416.3(a)(1)

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Alterations to Existing Buildings or Grounds: Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "child
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The License will submit a written statement of understanding about when and how the garage will be used by the children in care. Then send the statement to CCL by POC date.
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care" room. This requirement has not been met as evidenced by:

Based on observations and conformation from the Licensee the off limit garage is being used by children in care, which is a potential safety risk to child in care
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Type B
03/21/2025
Section Cited
CCR102423(a)(2)

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Personal Rights; Each child receiving services from a family child care home shall have certain rights that shall not be waived...These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee will provide a plan on how she will met the child's needs without violating their personal right, then send the plan to CCL by POC date.
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This requirement has not been met as evidenced by:
Based on observations the child was in a high chair that does not meet his needs which is a potential risk to children in care.
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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:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


LIC809 (FAS) - (06/04)
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