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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093624494
Report Date: 05/22/2023
Date Signed: 05/22/2023 01:09:29 PM

Document Has Been Signed on 05/22/2023 01:09 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:UTRILLA, DANIELLEFACILITY NUMBER:
093624494
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
05/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Danielle UtrillaTIME COMPLETED:
01:25 PM
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On May 22nd, 2023 Licensing Program Analyst (LPA) Soleil Marx, met with Licensee, Danielle Utrilla, for the purpose of a Case-Management-Licensee Initiated inspection. Upon Arrival LPA observed a census of three children being supervised by the licensee.

The Licensee has requested to change her off-limit areas. Previous off-limit areas included all bedrooms, laundry room and shed.

Licensee is requesting to utilize two bedrooms for day care children, which were previously off-limits. Licensee is requesting to change the status of the two bedrooms to on-limits, so children in care can utilize the bedrooms as napping spaces.

LPA conducted a health and safety inspection of the two bedrooms and observed both bedrooms to be free of hazards and safe for children in care. LPA will approve the request to place the bedrooms on-limits to children in care.

As of today 05/22/2023, the new off-limit areas include: Master bedroom/bath, laundry room, and shed.

Report reviewed with Licensee, exit interview conducted. Notice of Site provided and must remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2023
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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