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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515408101
Report Date: 11/01/2022
Date Signed: 11/01/2022 04:12:00 PM

Document Has Been Signed on 11/01/2022 04:12 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:HEREDIA, LUZ FAMILY CHILD CARE HOMEFACILITY NUMBER:
515408101
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
11/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Luz HerediaTIME COMPLETED:
04:20 PM
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On 11/1/2022 at 3:20pm Licensing Program Analyst (LPA) Laura Chavez conducted a case management inspection to the home in response to the licensee's request of an increase in capacity to 14. An approved fire inspection was received on 10/31/2022. The licensee's days and hours of operation are 24 hours a day, 7 days a week. The licensee understands that 24 hour care to one child at one time is not allowed. During todays inspection the licensee did not have any children in care. At 3:45pm LPA toured the home inside and outside. The off-limits areas of the home are the master bedroom and bath and sons bedroom, and were made inaccessible by locks. The children use the back yard as the outdoor play area and it is fully fenced. There were no pools or other bodies of water observed in the yard.

There were no deficiencies cited during today’s inspection therefore the increase in capacity is thereby granted.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
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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