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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002629
Report Date: 05/31/2024
Date Signed: 05/31/2024 01:42:09 PM

Document Has Been Signed on 05/31/2024 01:42 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:STEPPING STONES CCFFACILITY NUMBER:
045002629
ADMINISTRATOR/
DIRECTOR:		KUSSEROW-FRAZIER, ANNETTEFACILITY TYPE:
735
ADDRESS:215 VALLEY VIEW DRTELEPHONE:
(530) 534-4464
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 6CENSUS: 3DATE:
05/31/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Annette Frazier - licenseeTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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05/31/2024 11:30 AM An informal conference was conducted today via TEAMS. The purpose of this informal conference meeting was to discuss some issues that had not been completely addressed in the facility. Present in the meeting today were Licensing Program Manager, Lauren Crocker, Licensing Program Analyst Rebecca Knight, Stepping Stones licensee Annette Frazier.

Issues discussed during the meeting were:
· Current status of administrator certificate and steps taken to obtain updated certificate.
· Status of organization of facility files and paperwork.
· Status of obtaining a quote from licensed contractor and date for repair of roof.
· Status of completing all CAP requirements for Far Northern Regional Center (FNRC).
· Technical Support Program assistance.


The facility has stated they will do the following to achieve continued and substantial compliance:
· Follow-up with Administrator Certificate Bureau, find out what is required for them to issue administrator certificate.
· Hire an assistant to organize records and paperwork.
· Immediately send all documents to FNRC that have been requested.
· Obtain quote from licensed contractor and date for repair of roof. Submit to Far Northern Regional Center and CCLD.
· Notify LPA Knight as they complete all CAP requirements for Far Northern Regional Center.
· Notify LPA Knight as they complete all of the aforementioned items.
· Agree to utilize services of Technical Support Program.

No deficiencies were cited as a result of the meeting.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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