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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623560
Report Date: 07/30/2021
Date Signed: 07/30/2021 02:48:06 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:PARKER, LAKIAFACILITY NUMBER:
343623560
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
07/30/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lakia ParkerTIME COMPLETED:
02:00 PM
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On July 30, 2021 at 1:00 PM, Licensing Program Analyst (LPA) Tanya Washington met with Licensee Lakia Parker for an unannounced case management inspection to increase capacity to the maximum number of 14 children. Upon arrival, LPA observed care and supervision of six napping children supervised by the Licensee. Facility hours and days of operation are Monday-Friday, from 7 AM to 6 PM.

Licensee stated that she has verbally notified her landlord that she will be providing care to more children. Licensee understands that prior to enrollment of 13th and 14th child she must obtain her landlords signature on form LIC9149. Licensee also was informed that she would need to hire an assistant if additional children are enrolled. LPA discussed capacity options with and without an assistant and when the Licensee or the assitant are alone they divert to small license ratio requirements.

On July 21, 2021, Sacramento City Fire Department granted a fire clearance with no specific conditions.

Licensee stated that the only off limits of her home is the entire second floor.
Licensee understands that children may not have access to the off limit areas of the home.

Licensee's CPR and First Aid is valid until 11/2021.

EFFECTIVE TODAY, 07/302021 THE FACILITY IS LICENSED TO SERVE A MAX. CAP OF 12 (WHEN THERE IS AN ASSISTANT PRESENT): WITH NO MORE THAN 4 INFANTS.
OR MAX CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
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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