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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115407989
Report Date: 12/07/2022
Date Signed: 12/07/2022 08:43:07 AM

Document Has Been Signed on 12/07/2022 08:43 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CORONA, AMELIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115407989
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
12/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Amelia CoronaTIME COMPLETED:
08:50 AM
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Licensing Program Analyst, LPA Mendez conducted a case management inspection on 12/7/22 at 8:10am. This inspection was in response to an application for increased capacity that was received by the Department on 11/2/22. The licensee has requested a capacity increase to 14 children. A fire clearance was granted on 11/22//2022.

The LPA toured the facility's indoor and outdoor areas. The off-limits areas of the home are upstairs bedrooms and inaccessible by baby gate. The children use the back yard as the outdoor play area and it is fully fenced. There were no pools or other bodies of water observed in the yard. The licensee was supervising 5 children at the time of the visit, and was operating within capacity. The LPA reviewed the ratio's for a large license and the licensee acknowledged she understood the ratio requirements. The LPA also reviewed the Safe Sleep requirements with provider although the provider does not currently have infants enrolled and the provider has an assistant.

Based on the space/accommodations available at this facility and the fire marshal granting their approval on 11/22/22 for the 14 children, the capacity increase request is granted. LPA will process this capacity increase and mail an updated license to reflect this capacity change to 14 children. An exit interview was conducted with licensee.




Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022
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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