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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619343
Report Date: 04/21/2022
Date Signed: 04/21/2022 11:21:33 AM

Document Has Been Signed on 04/21/2022 11:21 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SOTO, OLGAFACILITY NUMBER:
343619343
ADMINISTRATOR:SOTO, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 429-1990
CITY:SACRAMENTOSTATE: CAZIP CODE:
95824
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
04/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Olga SotoTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Fabiola Diaz met with the Licensee, Olga Soto for the purpose of a case management inspection that was initiated by the Licensee. Inspection took place on 4/21/2022. During today's inspection, there were 10 children present in care with 3 staff. Licensee's sister was also present.

Today's inspection was requested to change the backyard from "off-limits" status to "on-limits" status. The backyard was inspected and determined to be in compliance with Title 22 regulations. No bodies of water were observed on premises.The backyard contains safe toys. Licensee stated the toys and the backyard fencing is constantly checked, to ensure they are in operable and safe conditions. Licensee explained that she wanted to keep the right side of the backyard off-limits, because children never enter this area. LPA observed a shed in the right side of the backyard.

As of today, 4/21/2022, LPA Diaz has approved the backyard to become "on-limits", except for the right side of the backyard (per licensee's request). LPA will change the licence to reflect the change that was made today.

Notice of Site was provided and LPA advised the Licensee that she will be sent a new license to display in her home.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2022
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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