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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585406908
Report Date: 02/12/2024
Date Signed: 02/12/2024 10:16:08 AM

Document Has Been Signed on 02/12/2024 10:16 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:FERREYRA, LIDIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585406908
ADMINISTRATOR:FERREYRA, LIDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 315-5095
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 2DATE:
02/12/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Lidia Ferreyra TIME COMPLETED:
09:50 AM
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On February 12, 2024, at 9:30am, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced Plan of Correction inspection and met with Licensee Lidia Ferreyra. During today's visit LPA verified proof of the licensee's assistant's (A1) current CPR/First Aid training, required Mandated Reporter Training, and immunizations.

Deficiencies cited during a case management inspection conducted on 1/4/2024 were cleared during todays visit.

The Notice of Site Visit must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00. All licensing reports are public information and must be made available upon request for at least three years.

Exit interview conducted and report was reviewed with Licensee Lidia Ferreyra.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
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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