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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115406755
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:42:36 PM

Document Has Been Signed on 03/13/2024 01:42 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:GONZALEZ, ERIKA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115406755
ADMINISTRATOR:GONZALEZ, ERIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 586-9199
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
03/13/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:Erika GonazalezTIME COMPLETED:
01:52 PM
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On 3/13/24 Licensing Program Analyst (LPAs) Bianca Mendez licensee and
conducted a Case Management unannounced inspection relating to deficiencies discovered on 3/6/24 during a required annual inspection.
During the inspection, licensee's assistant did not have a criminal record clearance on file and did not have eligible clearance on Guardian.
Licensee was issued a type A citation and a civil penalty of $500 dollars was issued for having a uncleared adult in the facility. Licensee is in the process of having assistant obtain livescan clearance and understands that assistant cannot return until they have a background clearance. Licensee hired another assistant who has their livecan completed and livescan is active in the Guardian database.

During today's site visit it was verified that licensee does not have the uncleared adult at the facility. LPA observed that there were no other adults at the facility without clearance. LPA observed 8 children napping in care, licensee was operating within ratio.

The POC is cleared as of 3/13/24

This report was reviewed and discussed with licensee, Erika Gonzalez. Notice of Site Visit shall be posted for 30 days from today's visit. There were no Title 22 deficiencies cited during today's inspection
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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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