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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444414569
Report Date: 03/08/2021
Date Signed: 03/08/2021 08:54:30 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SCHETTLER-SUSSKIND, JILLFACILITY NUMBER:
444414569
ADMINISTRATOR:SCHETTLER, JILLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 588-1183
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY:14CENSUS: 0DATE:
03/08/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Jill Schettler- SusskindTIME COMPLETED:
09:15 AM
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Licensing Program Analyst (LPA) Goodell met with licensee Jill Schettler- Susskind, via Facetime due to COVID-19 restrictions. LPA and licensee met due to licensee submitting updated facility sketch on 3/3/21 which included a hot tub. LPA observed no children present. All individuals subject to criminal background review have obtained a criminal record clearance. Hours of operation are Tuesday-Thursday, 9am- 1pm.

During inspection LPA observed hot tub located in back yard near licensee's house. LPA observed hot tub cover with four locked latches. Licensee acknowledged bodies of water requirements. Off-limits areas include: entire upstairs, laundry room, office, garage, rental unit, storage shed, and loft above childcare cottage.

No Title 22 deficiencies cited. Report was reviewed and discussed. Due to COVID-19 closures, report and Notice of Site Visit were emailed with read receipt request. Report must be returned to LPA with licensee signature.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Kristal GoodellTELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2021
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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