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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585405294
Report Date: 05/21/2024
Date Signed: 05/21/2024 10:14:33 AM

Document Has Been Signed on 05/21/2024 10:14 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
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:OCHOA, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585405294
ADMINISTRATOR/
DIRECTOR:		OCHOA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 741-2578
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
05/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:36 AM
MET WITH:Maria OchoaTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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An unannounced case management inspection was conducted today at 9:36 am by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with Licensee Maria Ochoa. In response to an Unusual Incident Report received by the Department on 5/10/24 where a child (C1) who was playing in the window of a play structure. He jumped through the window carrying a toy and landed on his right hand. C1 was acting injured and taken to receive medical care. It was established that he had a broken arm.

It was reported on 5/10/24 @ 12:10pm child C1 was outside playing on the play structure, C1 was told multiple times to stop his behavior but he would not stop. Licensee stated she was supervising children a few feet away from C1.

Two staff were interviewed on 5/21/24 and S1- S2 stated that C1 was under the supervision and was told to stop jumping, but did not stop jumping resulting in C1 breaking his arm.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: OCHOA, MARIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585405294
VISIT DATE: 05/21/2024
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During today’s inspection, the facility was toured LPA observed 7 children in care.

There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Maria Ochoa.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC809 (FAS) - (06/04)
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