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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620476
Report Date: 05/23/2019
Date Signed: 05/23/2019 10:40:04 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:YOLO CRISIS NURSERY (INF)FACILITY NUMBER:
573620476
ADMINISTRATOR:NAKAYAMA-YOUNG, LISAFACILITY TYPE:
830
ADDRESS:1701 BALSAM PLACETELEPHONE:
(530) 758-6680
CITY:DAVISSTATE: CAZIP CODE:
95618
CAPACITY:6CENSUS: 4DATE:
05/23/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Heather SleuterTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Christopher Jackson, Licensing Program Manager Sharon Ogbodo and Regional Manager Thomas Stahl. LPA, LPM and RM met with Heather Sleuter (Executive Director), Becky Heard (President of the Non-Profit), Jane Eadie (President of the board) for the purpose of a case management. Executive Director stated the hours or operation are Sunday thru Saturday from 7:00 AM to 7:00 PM.

During today's inspection LPA Jackson toured all areas of the home to accessible to infants in care. LPA observed the intake room in the home to be modified as the infant napping area. LPA observed three pack n' plays set up in the room. The room will be utilized as the napping area and does not require measurements during to today's inspection. The infant indoor activity area was measured during today's inspection. The indoor activity space measured 258.4964 which provided enough space for the licensed capacity amount of children in care.

Executive Director Heather Sleuter stated they have had a change in the director. LPA discussed a change of director with Heather Sluter. LAP discussed completing the orientation process to complete the change in director. LPA explained the orientation can be completed online or in person. LPA also obtained an updated copy of the facility sketch noting the infant napping room in the sketch during today's inspection.

No title 22 Deficiencies observed during today's inspection. This report was reviewed with executive director and Notice of Site visit was posted and must remain posted for the next 30 days.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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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