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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623730
Report Date: 03/07/2022
Date Signed: 03/07/2022 12:47:37 PM


Document Has Been Signed on 03/07/2022 12:47 PM - It Cannot Be Edited

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:STRICK,RACHAELFACILITY NUMBER:
343623730
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
03/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Rachael StrickTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Martinez conducted a increase of capacity visit to the home and met with licensee Rachael Strick. During today's visit the home was toured inside and out regarding areas where child care will be provided. The areas were the living room/dining room area, the front bedroom and one bathroom. The children nap in the upstairs bedroom area and loft where the licensee sits during the duration of nap to be able to hear any children who may be awake or crying. A fire inspection was completed by the Sacramento Metropolitan Fire Dept and completed on 2/15/22. The facility was approved for the increase in capacity. LPA Martinez provided the licensee with blank LIC documents for the facility which included information for her assistant to complete and maintain copies of on file.

Based on today's inspection the increase in capacity has been approved. A license will be mailed to the facility. Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (916) 862-1086
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2022
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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