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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313611358
Report Date: 04/25/2024
Date Signed: 04/25/2024 01:33:21 PM

Document Has Been Signed on 04/25/2024 01:33 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:PENA DE LICATA, ROSAFACILITY NUMBER:
313611358
ADMINISTRATOR/
DIRECTOR:		PEÑA DE LICATA, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 408-7838
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
04/25/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Rosa Pena De LicataTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On April 25, 2024, Licensing Program Analysts (LPA) Lea Habtom arrived at the Family Child Care Home of Rosa Pena De Licata for a case management inspection. The purpose of today’s inspection is to confirm that the licensee is adhering to the capacity requirements stated on the license.

There was a census of 11 napping preschool children being supervised by licensee and her assistant. Licensee provided a message to LPA L. Habtom that was sent out to families stating that she would be closed on Wednesday, April 17, 2024.

Based on today's inspection, LPA L. Habtom has cleared the deficiencies cited on April 16, 2024, for operating over capacity as well as exceeding the number of hours granted to be absent from the family child care home.

No Title 22 regulations were cited during today's inspection. This report was reviewed with license, Rosa Pena De Licata. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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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