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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 570306434
Report Date: 03/09/2020
Date Signed: 03/09/2020 09:32:18 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:SHORES OF HOPEFACILITY NUMBER:
570306434
ADMINISTRATOR:FOWLER, NANETTEFACILITY TYPE:
850
ADDRESS:110 6TH STREETTELEPHONE:
(916) 372-0200
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95605
CAPACITY:24CENSUS: 19DATE:
03/09/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Maria LopezTIME COMPLETED:
09:40 AM
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On March 9, 2020 Licensing Program Analyst (LPA) Chayntel Hunter met with Director, Maria Lopez for the purpose of an unannounced plan of correction inspection to clear a Type A deficiency, which was issued on 03/06/2020 for having S1 work at the facility without a fingerprint clearance.

During today's inspection LPA toured all areas accessible to children in care and observed 19 preschoolers being supervised by 4 staff. LPA reviewed the LIC 9224 acknowledgment forms signed by parents.

Deficiency cited on 03/06/2020 is cleared, effective today. Proof of correction letter was provided. Notice of Site Visit was posted. This report was reviewed and discussed with the Director.

No deficiencies were cited during today's inspection.

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
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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