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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340320736
Report Date: 08/27/2021
Date Signed: 09/01/2021 12:24:46 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: 0DATE:
08/27/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Scot MurdochTIME COMPLETED:
12:00 PM
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
Regional Manager (RM) Jennifer Brekke and Licensing Program Manager (LPM) Seychelle De Luca met with Board President Scot Murdoch for an informal meeting. RM defined the difference between a non-compliance conference and an informal meeting. RM advised that the purpose of today's meeting is to help facility gain compliance. Today's informal meeting is to discuss the recent citations from 07/23/2021, regarding the facility operating out of ratio, Director’s presence at the facility, and the facility’s lack of toilet paper for children. The ratio citation has not been cleared.

The facility has taken the following measures to correct the deficiencies:
-Licensing Program Analysts (LPAs) Christopher Bello and Mai Lor returned and cleared the citation regarding Director’s presence at the facility.
-Facility has toilet paper for children.

During today's meeting, LPM suggested Board President review the Department's website www.ccld.ca.gov for updated regulations and important information regarding licensing. LPM suggested that Board President view informational videos at www.ccld.childcarevideos.org.

Prior to today's meeting, LPM emailed Board President a list of documents required to update the Licensee Representative.

In lieu of Board President’s signature, LPM will email this report and Board President will respond via email as verification of receipt.
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
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