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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503607212
Report Date: 01/10/2022
Date Signed: 01/10/2022 10:57:33 AM

Document Has Been Signed on 01/10/2022 10:57 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SCHWEIZER, ERIKAFACILITY NUMBER:
503607212
ADMINISTRATOR:SCHWEIZER, ERIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 576-0474
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Erika SchweizerTIME COMPLETED:
11:15 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
On January 10, 2022 Licensing Program Analyst (LPA) Kari McWilliams attempted to complete an annual inspection and met with Licensee Erika Schweizer. When LPA McWilliams arrived Licensee stated that she wants to put her license on inactive status for the next year.

Licensee confirmed that she is currently not caring for any children and reported that she has not provided care and supervision since September 2021. Licensee stated that she does not have any children currently enrolled. LPA toured the facility and confirmed no children were present.

LPA McWilliams provided Licensee with LIC 9211 form to request to go on inactive status. LPA McWilliams informed Licensee that she would need to pay her annual fees, complete her mandated reporter training and any other training required prior to resumption of caring for children. LPA McWilliams provided Licensee with the License Exemption regulations if she chose to care for only one family.

There are no other issues to report at this time.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2022
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