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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620092
Report Date: 04/07/2021
Date Signed: 04/29/2021 08:55:04 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:BROWN, VERNETTEFACILITY NUMBER:
393620092
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
04/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Vernette BrownTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Justin Denton and Licensing Program Manager (LPM) Jeanne Smith spoke with Licensee Vernette Brown over the phone due to the ongoing COVID-19 pandemic. LPM and LPA attempted to meet with Licensee Brown over Zoom video-chat but experienced technical difficulties. Licensee has a pending capacity increase application with the Sacramento South Regional Office which is being reviewed by the Department.

LPM Smith explained the difference between a Non-Compliance and an Informal meeting. LPM Smith advised Licensee that the purpose of today's meeting is to help the Licensee gain compliance.

During today's informal meeting with licensee, LPM Smith and LPA Denton discussed the incident reported on 10/29/2020 with Licensee Brown. LPA and LPM discussed the deficiency cited for personal rights on 3/3/2021.

Licensee stated that she would no longer use improper language and spoke about alternate strategies to handle C1's behaviors. Licensee said that she would work on methods to remove C1 from problematic situations with her peers.

LPM Smith discussed the importance of staying in compliance and any future serious deficiencies may lead to future administrative action. LPM offered the Technical Service Program (TSP) as a potential option to help Licensee maintain compliance and referred Licensee to the local resource and referral agency for further training.

Appeal rights provided and a copy of this report will be provided to the licensee via email.

SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
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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