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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274411540
Report Date: 05/17/2023
Date Signed: 05/17/2023 02:03:38 PM

Document Has Been Signed on 05/17/2023 02:03 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:REYNOSO, ROSAISELAFACILITY NUMBER:
274411540
ADMINISTRATOR:REYNOSO, ROSAISELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 580-7032
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
05/17/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Rosaisela ReynosoTIME COMPLETED:
02:10 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with licensee Rosaisela Reynoso for a Plan of Correction inspection, LPA explained the reason for the visit. Present was licensee and five day care children, included one infant, one school age, and three preschool age. LPA took a picture of the updated children's roster.

LPA has previously conducted an annual inspection to the home on 4/27/23 and licensee was cited with a type A deficiency for operating out of ratio her license.
Licensee has submitted documents required according with the Plan Of Correction (POC) and by the AB633 on 4/27/23 and 5/04/23 respectively.
LPA observed licensee was operating today in compliance with the ratio and capacity limitations. LPA observed posted the Notice of Site Visit for the inspection dated 4/27/23.

Deficiencies cited on 4/27/23 are thus cleared. No additional deficiencies were cited.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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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