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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620387
Report Date: 11/19/2019
Date Signed: 11/19/2019 11:15:29 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:SCHWEIGERT, ERICAFACILITY NUMBER:
343620387
ADMINISTRATOR:SCHWEIGERT, ERICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 627-0281
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:14CENSUS: 4DATE:
11/19/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Erica SchweigertTIME COMPLETED:
11:17 AM
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Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced case management inspection and met with Licensee, Erica Schweigert. The purpose of today's visit was to inspect the in ground pool and fencing that had been installed in the yard. LPA inspected and took photos of the pool area. LPA observed an in ground pool located in the backyard surrounded by five foot mesh fencing. There is a gate that is self latching/closing and swings away from the pool. The fencing meets Title 22 regulation. During the inspection the Licensee asked to have the whole backyard placed back on-limits and as well as the guest bedroom downstairs. LPA inspected all areas and found them to be free of hazardous items. Licensee acknowledges she understands that she must contact LPA prior to making an off-limits area on-limits and vice versa. LPA provided the Licensee with the new Immunization Card information.

No citations were given during the inspection and an exit interview was conducted.
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun BirkTELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
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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