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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125408369
Report Date: 11/12/2024
Date Signed: 11/12/2024 04:35:19 PM

Document Has Been Signed on 11/12/2024 04:35 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:PEREZ-QUINTAS, AIDA FAMILY CHILD CARE HOMEFACILITY NUMBER:
125408369
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
11/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:21 PM
MET WITH:Aida Perez QuintasTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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An unannounced case management inspection was conducted today at 4:21pm by Licensing Program Analyst (LPA), Bianca Mendez. LPA met with licensee Julie Crosby in response to the licensee’s request for an increase of capacity to 14. An approved fire inspection was received on 10/28/24. The licensee has met the requirement for at least one year of experience. A copy of the staffing ratio requirements was provided and discussed with the licensee. The licensee acknowledged she understood the ratio requirements and has an assistant with the required documentation on file. The licensee understands that an assistant provider under the age of 18 cannot be left alone without an adult on the premises.

The facility operates Monday-Friday, 6:00am to 6:00pm. The residence is a 3 bedroom/2 bath two story home. The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: 2 upstairs bedrooms and laundry room. These areas have been made inaccessible by means of baby gate, doorknob covers and lock. Children will have access to one bedroom upstairs and will require supervision. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The children will use the backyard as the outdoor play area. The backyard is completely fenced. There is no pool, spa, pond, fountain, or any other body of water on the premises.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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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: PEREZ-QUINTAS, AIDA FAMILY CHILD CARE HOME
FACILITY NUMBER: 125408369
VISIT DATE: 11/12/2024
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Based on the space/accommodations available at this facility and the fire marshal granting their approval on 10/28/24 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 Aida Perez Quintas

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: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
LIC809 (FAS) - (06/04)
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