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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623798
Report Date: 07/21/2022
Date Signed: 07/21/2022 01:47:40 PM

Document Has Been Signed on 07/21/2022 01:47 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:ZAPATA, KATRINAFACILITY NUMBER:
343623798
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
07/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Katrina ZapataTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Katrina Zapata, for a case management inspection. Purpose of the inspection was explained. Licensee applied for capacity increase from small family child care home to large family child care. The department requested the fire inspection to be conducted.

During today's inspection, LPA inspected the home. LPA discussed the capacity and ratio requirements and limitations with the licensee and provided a handout. Licensee stated that the local fire department has came to the home for inspection and asked pull alarm to be installed. Licensee stated that licensee requested the fire department to add the garage into day care and working on getting approval from the city officials. LPA explained because the application for large license has been pending since April 2022, a decision needs to be made. Licensee stated that licensee will try to get all corrections to be completed within a month from today, otherwise, she will withdraw the application and reapply when the house is ready. LPA also reminded the licensee that all adults living or working in the house must have criminal background clearance on file before they start living or working in the house. Failure to do so could result in an immediate civil penalty of $100.00 each day.

Copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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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