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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340320736
Report Date: 08/19/2021
Date Signed: 08/19/2021 01:19:10 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:POPPY PATCH-PHASE IIFACILITY NUMBER:
340320736
ADMINISTRATOR:DOROTHEA JACKSONFACILITY TYPE:
850
ADDRESS:9645 BUTTERFIELDTELEPHONE:
(916) 845-6033
CITY:SACRAMENTOSTATE: CAZIP CODE:
95827
CAPACITY:60CENSUS: 13DATE:
08/19/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lea CabadingTIME COMPLETED:
01:30 PM
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Licensing Program Analysts (LPAs) Christopher Bello and Mai Lor arrived at the facility to clear deficiencies cited on 7/23/21 at approximately 9:30am. LPAs observed at approximately 9:35am one teacher with 12 children. LPAs observed at approximately 9:38am a parent dropping off one child leaving one teacher with 13 children placing the facility out of Teacher-Child ratio. This is considered as a immediate risk to the children in care and the violation was not corrected. A Civil Penalty for a failure to correct was assessed. Regarding the "Director is not spending sufficient time in the facility" deficiency, interviews with staff from Poppy Patch Phase III and Poppy Patch Phase II had conflicting information. LPAs with consultation with Licensing Program Manager Seychelle De Luca cleared the deficiency and provided Letter of Clearance. LPAs observed that the facility has toilet paper,LPAs cleared the deficiency and provided letter of Clearance. An exit interview was conducted and appeal rights provided.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher BelloTELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
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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