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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002629
Report Date: 09/19/2024
Date Signed: 09/19/2024 11:25:51 AM

Document Has Been Signed on 09/19/2024 11:25 AM - 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: 4DATE:
09/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Annette Frazier - administrator / licenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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09/19/2024 11:00 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with administrator Annette Frasier. The purpose of the visit was to follow up on citations that were issued during the 2024 annual inspection that were required to be completed this date.

LPA spoke with administrator about the following deficiencies that are due today:

Locks on all cupboards that contain chemicals and cleaning supplies. Licensee stated had purchased new locks but they were not long enough. Licensee will purchase correct locks today, install and send LPA photographs.

TB clearance for two staff. One staff has clearance but needs to get the paperwork from their physician. Licensee had requested 1 additional week to complete this item.

First aid certificates for two staff. Licensee has requested 1 additional week to complete this item.

LPA has granted licensee the one week extension for the two aforementioned items. The new due date it 09/26/2024.

No deficiencies were cited as a result of the inspection. A copy of the report was provided to administrator Annette Frazier.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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