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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500854
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:30:16 PM

Document Has Been Signed on 01/14/2025 03:30 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CARRANZA, DEBORAHFACILITY NUMBER:
394500854
ADMINISTRATOR/
DIRECTOR:		DEBORAH CARRANZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 296-6014
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/14/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Licensee Deborah CarranzaTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 1/14/25, Licensing program Analyst (LPA) Carla Polanco conducted an unannounced case management visit and met with Licensee Deborah Carranza. LPA was granted entry by Licensee. Today's inspection was for the purpose of converting the off-limit garage in the FCCH to on-limit. There were five children present during the inspection, being supervised by Licensee.

During the inspection, LPA observed the garage to be in safe conditions. LPA observed that hazardous items were properly barricaded and made inaccessible to children in care. LPA verified that on 1/7/25, the Manteca Fire Department approved the garage in the FCCH to be used as a play area. As of today 1/14/25, the garage is on limit and will be included as part of the FCCH. Licensee understands that children are not allowed to sleep nor eat in the garage.

Exit interview was conducted and this report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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