343624069-10-21-2021-03-CC-KFEA-C7ZMVQ-20211021095704

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624069
Report Date: 10/21/2021
Date Signed: 10/21/2021 09:57:08 AM

Document Has Been Signed on 10/21/2021 09:57 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:	LOVERIO, MARIA LOUDRES		FACILITY NUMBER:	343624069
ADMINISTRATOR:	LOVERIO, MARIA LOUDRES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 576-9106
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/21/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Maria Loverio		TIME COMPLETED:	10:15 AM

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This is a Change of Location from previous facility number 343621958

Licensing Program Analyst (LPA) Kelly Ferrara conducted a Change of Location inspection and met with Maria Loverio. LPA advised applicant that all adults living or working in the home must be fingerprint cleared and associated to her license. Facility hours of operation are Monday through Friday 7 AM to 6 PM.

A health and safety inspection of the interior and exterior of the home was conducted. Applicant's home is a four bedroom, three bathroom two story home. Off limit areas include: Entire upstairs and garage. Applicant understands that children may not enter off limit areas and any changes made must be cleared through Licensing. Chemicals, knives, medications, and hazardous items are all stored in a way that is inaccessible to children. LPA advised that poisonous items must be locked. LPA observed the smoke and carbon monoxide detector are functioning properly. LPA observed a 2A-10-BC fire extinguisher. LPA observed all required licensing postings along with COVID19 posters. Applicant stated there are no firearms in the home and LPA did not observe any bodies of water on the premises.

The Facility Evaluation Report was reviewed and discussed with the Applicant. Applicant was encouraged to visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to family child care homes. LPA advised applicant to read all PINs regarding COVID19. LPA reviewed capacity requirements and limitations with the applicant.

As of today’s date, October 21st, the new home is licensed and ready to operate.

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021

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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