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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115408276
Report Date: 04/03/2023
Date Signed: 04/03/2023 10:13:44 AM

Document Has Been Signed on 04/03/2023 10:13 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:SARMENTO, CASSANDRA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115408276
ADMINISTRATOR:SARMENTO, CASSANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 514-6136
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
04/03/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Cassandra SarmentoTIME COMPLETED:
10:20 AM
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A prelicensing inspection was conducted today at 8:50am by Licensing Program Analyst (LPA), Laura Chavez. LPA met with licensee Cassandra Sarmento. The licensee is requesting a license for a capacity of 14. An fire inspection approval was received on 4/3/2023. The facility will operate Monday-Friday, 6:30am to 5:30pm. The residence is a three bedroom/two bath single/two story home. There are two adults and three minors currently living in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: the three bedrooms, master bathroom. These areas have been made inaccessible by means of doorknob covers. The home has a converted garage that will serve as the main day care area. Children will be escorted into the home to use the bathroom. The licensee understands that children will not be allowed in the converted garage should it be too cold during the winter months or too hot in the summer months. Poisons are locked in the metal shed located in the backyard. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The licensee understands that the fireplace in the living-room shall be securely screened should it be used while children are in care. The children will use the backyard as the outdoor play area. During today's inspection the backyard is in the process of being fenced in. The licensee stated that the backyard will not be used until the back yard is completely fenced. The licensee understands that constant supervision must be provided if the children are outside. There is no pool, spa, pond, fountain, or any other body of water on the premises. The licensee agrees to notify CCLD prior to installing any type of bodies of water.

Report continued: See LIC 809C
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2023
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: SARMENTO, CASSANDRA FAMILY CHILD CARE HOME
FACILITY NUMBER: 115408276
VISIT DATE: 04/03/2023
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The licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The licensee stated that is is aware of the safe sleep regulations. The Child Care Licensing Safe Sleep web page may be accessed at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-
resources/safe-sleep as an additional resource. LPA also informed the licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items need to be completed prior to the granting of license:
1. Proof of the numerical address on the home.

Exit interview conducted and report was reviewed with licensee Cassandra Sarmento.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
LIC809 (FAS) - (06/04)
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