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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
045002811
Report Date:
08/16/2023
Date Signed:
08/16/2023 02:08:40 PM
Document Has Been Signed on
08/16/2023 02:08 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:
CARMEL HOUSE
FACILITY NUMBER:
045002811
ADMINISTRATOR:
STRICK, KATHERINE
FACILITY TYPE:
740
ADDRESS:
6 CARMEL PLACE
TELEPHONE:
(530) 343-8007
CITY:
CHICO
STATE:
CA
ZIP CODE:
95973
CAPACITY:
6
CENSUS:
5
DATE:
08/16/2023
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
01:45 PM
MET WITH:
Valerie Fred
TIME COMPLETED:
02:15 PM
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LPA Jaynae Boyles and LPM Lauren Crocker made an unannounced visit to the facility today to clear the deficiency cited at the annual inspection dated 8/9/2023. The deficiency was observed to be cleared and a POC letter was generated and left at the facility.
SUPERVISOR'S NAME:
Lauren Crocker
TELEPHONE:
(916) 261-4966
LICENSING EVALUATOR NAME:
Jaynae Boyles
TELEPHONE:
(916) 917-3040
LICENSING EVALUATOR SIGNATURE:
DATE:
08/16/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/16/2023
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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