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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618877
Report Date: 09/26/2019
Date Signed: 09/26/2019 11:46:35 AM

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:RUNNELS, MARYFACILITY NUMBER:
343618877
ADMINISTRATOR:RUNNELS, MARYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 240-4402
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:14CENSUS: 9DATE:
09/26/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Mary Runnels, LicenseeTIME COMPLETED:
12:05 PM
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Licensing Program Analysts (LPAs) Joleen Kenney and Chayntel Hunter conducted a plan of correction inspection and met with the Licensee, Mary Runnels. The purpose of the inspection was to verify that the Licensee corrected the deficiencies that were previously cited on August 14, 2019. The Licensee showed proof of immunization's for herself and the Assistant, provided certificate of completion for the Mandated Reporter Training, and LPAs reviewed children's files and verified that children's immunization records are on file.

LPAs verified that all deficiencies were corrected and a clearance letter was provided to the Licensee during today's inspection.

An exit interview was conducted and a Notice of Site Visit was provided and posted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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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