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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500873
Report Date: 01/17/2025
Date Signed: 01/17/2025 01:47:57 PM

Document Has Been Signed on 01/17/2025 01:47 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:FERREYRA, VERONICAFACILITY NUMBER:
394500873
ADMINISTRATOR/
DIRECTOR:		VERONICA FERREYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 507-5088
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Veronica FerreyraTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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
Licensing Program Analyst (LPA) Erwin Tjhia met with licensee, Veronica Ferreyra for an unannounced Case Management inspection. Present in the facility were 1 staff caring for 3 children during todays inspection.

The purpose of the inspection was explained and was to discuss an unusual incident that occurred on 11/24/2024; which was self reported to the Department by the facility. During today’s inspection, LPA observed the care and supervision of children, conducted interviews with staff, and reviewed pertaining documents. Due to insufficient information available at this time, incident needs further investigation.

An exit Interview was conducted in which the report was reviewed and discussed with licensee, Veronica Ferreyra. A copy of the report was provided to Licensee and a Notice of Site Visit was posted by the LPA.

In the areas that were evaluated, no deficiencies were cited during today's inspection.

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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