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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
475407415
Report Date:
01/26/2022
Date Signed:
01/28/2022 08:41:34 AM
Document Has Been Signed on
01/28/2022 08:41 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
,
520 COHASSET RD., SUITE 170
CHICO
,
CA
95926
FACILITY NAME:
ROCHA, PAMELA FAMILY CHILD CARE HOME
FACILITY NUMBER:
475407415
ADMINISTRATOR:
ROCHA, PAMELA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(310) 357-9432
CITY:
GREENVIEW
STATE:
CA
ZIP CODE:
96037
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
5
DATE:
01/26/2022
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
03:00 PM
MET WITH:
Pamela Rocha
TIME COMPLETED:
04:00 PM
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The Licensing Program Analyst conducted a facility inspection to inspect the pool fencing. The non climbable fencing fully surrounds the above ground pool at 5 feet. The view of the pool was not obstructed. The pool was not filled today.
5 children were being supervised by 2 staff.
No violations observed.
SUPERVISORS NAME
:
Erin Virrueta
LICENSING EVALUATOR NAME
:
Jaime Snow
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/26/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/26/2022
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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