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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625744
Report Date: 08/13/2024
Date Signed: 08/13/2024 09:38:09 AM

Document Has Been Signed on 08/13/2024 09:38 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TORRES, EUGENIAFACILITY NUMBER:
343625744
ADMINISTRATOR/
DIRECTOR:		TORRES, EUGENIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 807-9313
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/13/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Eugenia TorresTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On Tuesday 13 Aug 24, at approximately 9:00am, Licensing Program Analyst (LPA) Fabian Schwartz met with Applicant Eugenia Torres, for the purpose of a second pre-licensing inspection for change of location and capacity increase inspection. This applicant was previously licensed under facility number 343624746. Applicant plans to operate Monday through Friday from 7:00am-6:00pm.

Present during time of inspection were Applicant’s 3 younger children and applicant’s one adult child, Facility was previously toured on 1 August 24, and after a review of the application it has been determined that a fingerprint clearance is needed for George Thomas.

A health and safety inspection was conducted inside and out. This facility is a two-story house. The facility has a living room, kitchen, five bedrooms, three bathrooms, and a garage. Off-limit areas include: Entire upstairs, Downstairs bedrooms, and garage. Off-limits areas will remain inaccessible to children by closed doors and/or supervision. Toxic and hazardous items are inaccessible to children and are stored in Applicant’s locked, upstairs bedroom. Functioning smoke and carbon monoxide detectors and a 2A-10-BC fire extinguisher were observed in the home. EMSA certified certificate for Preventative Health and Safety training was received. Applicant's Pediatric CPR and First Aid training is valid until 6 July 2026. Applicant’s Mandated reporter Training is valid until 22 January 2025. Applicant understands Pediatric CPR and First Aid training and Mandated Reporter training must be renewed every two years. Applicant stated she understands that her own children under the age of 10 count as part of the ratio. Applicant stated that there are no firearms or weapons in the home. This facility has a fenced backyard, supervision was discussed, and applicant understands that children must be 100% supervised in unfenced yards.

Continued on LIC809-C………

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TORRES, EUGENIA
FACILITY NUMBER: 343625744
VISIT DATE: 08/13/2024
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The applicant has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 14 children.

Corrections needed Prior to licensure:

1. Fingerprint Clearance for George Thomas

Once proof of correction is received, a license will be approved for a Large Family Child Care Home license to serve a MAX. CAP (WHEN THERE IS AN ASSISTANT PRESENT): 12 - NO MORE THAN 4 INFANTS. OFF LIMITS AREAS ARE: Entire upstairs and garage.

Exit interview conducted with Applicant Eugenia Torres.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
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