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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574501020
Report Date: 07/18/2024
Date Signed: 07/18/2024 12:58:58 PM

Document Has Been Signed on 07/18/2024 12:58 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ROCHA, ABELINA SUEFACILITY NUMBER:
574501020
ADMINISTRATOR/
DIRECTOR:		ROCHA, ABELINA SUEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 718-9042
CITY:WOODLANDSTATE: CAZIP CODE:
95695
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
07/18/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:licensee, Abelina Sue RochaTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Manager (LPM) Chayntel Hunter, and Licensing Program Analyst (LPA) Lauren Scott met with Licensee, Abelina Sue Rocha, for the purpose of an Informal Meeting. LPM Hunter defined the difference between a Non-Compliance and an Informal Meeting. LPM advised Ms. Rocha the purpose of todays meeting is to help provider gain compliance.

Today's informal meeting was to discuss the incident that occurred on 07/17/2024 where the provider was out of ratio and took over 30minutes to answer the door, as well as incident where children got out of the side gate and was found by another parent in the front yard.

The Licensee stated that they have taken the following steps to maintain compliance:

1. Physical plant/Supervision: Licensee installed lock on side gate
2. Physical plant/Supervision: Licensee added bells to the front doors to alert staff when the door is opened
3. Ratio: Reviewing children's schedule to make sure facility is not over capacity.

LPA and LPM reviewed regulations on Supervision and Reporting Requirements. LPM and LPA provided information regarding training videos on Health and Safety and the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. LPA will follow-up with Licensee Abelina Sue Rocha for TSP services. LPA discussed using the Department website (ccld.ca.gov) for child care updates, legislation, forms and regulation information. LPM suggested viewing information videos at www.ccld.childcarevideos.org.

This report was reviewed by Licensee Abelina Sue Rocha.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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