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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293622626
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:07:21 PM

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:TAHOE EXPEDITION ACADEMYFACILITY NUMBER:
293622626
ADMINISTRATOR:BRODI, STEPHANIEFACILITY TYPE:
850
ADDRESS:9765 SCHAFFER MILL RDTELEPHONE:
(530) 546-5253
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY:30CENSUS: 0DATE:
08/12/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Brian Collier - Facility ManagerTIME COMPLETED:
12:15 PM
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On Thursday, August 12th, 2021, at 11:52am, Licensing Program Analyst (LPA) Blake Morillas and Licensing Program Manager (LPM) Keven Peters met with the Facility Manager, Brian Collier, for the purpose of a Case Management Visit. No children were present due to the program being closed for the summer.

The purpose of the Case Management visit was to determine the operational status of the facility. The first day of school is scheduled to be September 7th and will operate from 8:30am to 3:00pm, Monday through Friday.

At 12:05pm, LPA reviewed and discussed this facility Case Management report.

LPA provided a Notice of Site Visit and the Facility Manager acknowledges that this notice shall remain posted for 30 days for parental review.

The Licensee was provided a copy of the Appeal Rights (LIC9058) and the Licensee's signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake MorillasTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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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