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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619138
Report Date: 06/16/2020
Date Signed: 06/16/2020 11:49:41 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:BARRETT, CHAROLFACILITY NUMBER:
343619138
ADMINISTRATOR:BARRETT, CHAROLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 758-7160
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 2DATE:
06/16/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Charol BarrettTIME 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
Licensing Program Analyst (LPA) Elvira Sierra contacted Licensee, Charol Barrett for the purpose of a case management inspection. Due to COVID-19 pandemic, LPA is conducting the meeting via FaceTime with Licensee. Before today’s call, Licensee requested to make her backyard "on limits", which was previously identified as off-limits. During the FaceTime visit, LPA requested to tour the facility. LPA observed 2 children being supervised by Licensee.

LPA inspected the backyard for health and safety hazards. There is an exit into the backyard through the living room sliding glass door. The backyard is enclosed with a fence and has an additional enclosed side yard for License's dogs that is off limits to the children. There is an outdoor canopy to provide shade. LPA observed outdoor play equipment for children to use and an outdoor bench and table for the children.


Effective today, the off-limit areas of the home include: All bedrooms, bathroom (inside master bedroom), kitchen, portion of the backyard (dog's yard), front yard, driveway and Garage.

In lieu of Licensee's signature, LPA Sierra is e-mailing a copy of the report with a read receipt request. Notice of Site Visit was email to Licensee to post for 30 days in a conspicuous area of the home.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2020
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