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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500684
Report Date: 03/20/2025
Date Signed: 03/20/2025 11:39:14 AM

Document Has Been Signed on 03/20/2025 11:39 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MADDOX, HOWARD & KARLAFACILITY NUMBER:
394500684
ADMINISTRATOR/
DIRECTOR:		HOWARD & KARLA MADDOXFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 988-1236
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
03/20/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Karla MaddoxTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 03/20/25, Licensing Program Analyst (LPA), Elvira Sierra met with Licensee, Karla Maddox for an unannounced case management inspection. The facility is requesting addition of the dining and kitchen area to the existing daycare area. LPA inspected the facility, today census was 5 children.

LPA inspected the kitchen and dining area and no hazards were observed. LPA approved the kitchen and dining area as part of the daycare area. New Off limits areas are:All bedrooms, Living Room, loft next to bathroom #1, all closets, garage, front yard, driveway, and right side of the backyard. Off-limits areas will remain inaccessible to children by closed doors, locks and/or supervision. The Licensee acknowledged that children may never enter these off-limit areas. Licensee understands that if any structural changes are made to the home, Licensing must be notified prior to construction.
No deficiencies were observed. Exit interview conducted and a copy of this report was reviewed and provided to Licensee, Karla Maddox. Notice of site visit posted and shall remain posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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