<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617898
Report Date: 07/28/2022
Date Signed: 07/28/2022 10:52:29 AM

Document Has Been Signed on 07/28/2022 10:52 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LIMON, ALMA & ALCANTAR, MARIAFACILITY NUMBER:
343617898
ADMINISTRATOR:A.LIMON/M.ALCANTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 285-7930
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 17DATE:
07/28/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Alma LimonTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Fabiola Diaz conducted a POC inspection on today's date at around 10:20 AM.

A type A deficiency was cited on 7/12/22 for over capacity. A POC inspection was previously conducted on 7/19/22, but the POC was not cleared.

Upon arrival at the facility today, LPA observed 17 children in care. The POC regarding over capacity was not cleared as of today. A Civil Penalty for failure to correct was assessed from 7/20/22 through 7/28/22.

A Notice of Site visit was provided. An exit interview was conducted.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1