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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623759
Report Date: 11/10/2022
Date Signed: 11/10/2022 02:18:43 PM

Document Has Been Signed on 11/10/2022 02:18 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:IBARRA, AMELITAFACILITY NUMBER:
343623759
ADMINISTRATOR:IBARRA, AMELITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 427-2521
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
11/10/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Amelita IbarraTIME COMPLETED:
02:40 PM
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On November 10th, 2022, Licensing Program Analysts (LPAs) Arianna Manabat and David Nguyen met with Licensee Amelita Ibarra for the purpose of a Plan of Correction (POC) inspection. On November 2nd, 2022, two Type A citations were issued for deficiencies related to Safe Sleep and Off-Limits regulations.

During today's inspection LPAs observed the Licensee and an assistant providing care for two infants, seven preschoolers, and one school aged child. LPAs observed that all children who need to be accorded conditions which follow safe sleep regulations have been. LPAs observed that children who can climb out of a crib are utilizing mats.

LPAs have observed that the off-limits garage is marked as off-limits and is not accessible to children in care. During today's visit, LPAs observed that the children are not present in the garage. As of November 11th, 2022, both Type A Citations have been cleared and a Plan of Correction letter was provided.

This report was reviewed with the Director and a Notice of Site Visit was provided and should remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2022
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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