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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618877
Report Date: 07/09/2021
Date Signed: 07/09/2021 08:29:02 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) 562-5125
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:14CENSUS: 4DATE:
07/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:35 AM
MET WITH:Mary Runnels, LicenseeTIME COMPLETED:
07:50 AM
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At 7:35 a.m., Licensing Program Analyst (LPA) Joleen Kenney met with the Licensee, Mary Runnels, for the purpose of a case management inspection. The Licensee has requested to change the backyard that was previously identified as an off limit area to an on limit area and accessible to the day-care children. During today's inspection LPA Kenney toured the home and inspected the backyard and did not identify any hazards to children in care. As of today, the backyard is approved as an on limit area for children in care.

No deficiencies were cited during today's inspection.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021
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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