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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 451374968
Report Date: 10/16/2019
Date Signed: 10/16/2019 10:57:10 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CARVER FAMILY CHILD CARE HOMEFACILITY NUMBER:
451374968
ADMINISTRATOR:CARVER, TONI J.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 222-1145
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 1DATE:
10/16/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Toni CarverTIME COMPLETED:
10:00 AM
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A Case Management visit was conducted by licensing Program Analysts Wisehart and Marks who met with Licensee Toni Carver. The visit was in relation to a phone call received by our office on 10/9/19 where Licensee notified licensing of changes to status of home; individuals in the home, late fees and control of property.

The LPA's observed that all individuals in the home have current back ground clearances; the late fees check was mailed on 10/10/19 and the Licensee agrees to send in control of property immediately, if any changes are made.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk MarksTELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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