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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620135
Report Date: 01/13/2021
Date Signed: 01/13/2021 02:29:54 PM

Document Has Been Signed on 01/13/2021 02:29 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:EASTER, PATRICK AND TAKARAFACILITY NUMBER:
393620135
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/13/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Patrick EasterTIME COMPLETED:
01:30 PM
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Due to the COVID-19 pandemic, Licensing Program Analyst (LPA) Amy Silva is conducting the meeting via Face Time with the Licensee.

On 1/13/2020 at 1:00 p.m., LPA Silva conducted a case management inspection and spoke with the Licensee, Patrick Easter. There were six children in care today. The purpose of today's inspection was to view the playroom addition to the home. The Licensee has requested to make the playroom an on-limit area and accessible to children.

LPA Silva toured the home via Face Time with the Licensee and viewed the playroom and there were no hazards observed to be accessible to children in care. The Licensee provided photos of the playroom. Licensee submitted an updated facility sketch that includes the playroom addition.

As of today, 1/13/21 the playroom addition may be used by day-care children.

In lieu of Licensee's signature, LPA Silva is emailing the report to the Licensee with a read receipt request.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Amy Silva
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2021
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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