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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620505
Report Date: 12/15/2021
Date Signed: 12/15/2021 02:24:34 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:TOTS OF LOVEFACILITY NUMBER:
343620505
ADMINISTRATOR:COURTNEY WILLIAMSFACILITY TYPE:
850
ADDRESS:5619 MARCONI AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:24CENSUS: 0DATE:
12/15/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Courtney WilliamsTIME COMPLETED:
02:40 PM
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At 12:40 p.m. on Wednesday, December 15th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Courtney Williams, for the purpose of a POC inspection.

Facility was previously cited on October 14th, 2021, regarding ratio and reporting requirements. The facility has been temporary closed due to needed repairs and is combined at the Citrus Heights facility. LPA received qualifications for director via text message during today's inspection.

Facility was previously cited on September 8th, 2021, regarding outdoor space. Licensee removed log with exposed screw during today's inspection.

The violations have been corrected per POCs and have been cleared. No title 22 deficiencies were cited during today's inspection. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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