<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624471
Report Date: 01/31/2023
Date Signed: 01/31/2023 10:31:41 AM

Document Has Been Signed on 01/31/2023 10:31 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:NIDO AT MARCONIFACILITY NUMBER:
343624471
ADMINISTRATOR:HIRESHA DE SILVAFACILITY TYPE:
830
ADDRESS:5619 MARCONI AVE.TELEPHONE:
(916) 430-5268
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
01/31/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Hiresha De SilvaTIME COMPLETED:
10:40 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At 9:20 a.m. on Tuesday, January 31st, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Hiresha De Silva, for the purpose of an announced prelicensing inspection. During today's inspection, LPA observed the following corrections made:

1. Indoor and outdoor equipment and materials are set up.
2. Changing table has a pad that is at least 1 inch thick with vinyl surface and raised sides.
3. Napping walls/partitions have been altered and are at least 4 feet high.

Licensee stated that additional materials including floor beds, potty chair, and first aid kit will be transferred prior to start date.


OUTDOOR ACTIVITY SPACE:
Outdoor space was measured. There is a total square footage of 1822.46 square feet, which will accommodate the requested capacity of 24 children. The play structure has been constructed and there is foam cushioning beneath to absorb a fall.



The location change is approved pending final approval from LPM De Luca and will be in effect on Monday, February 6th, 2023, per Licensee's request.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1