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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 097003240
Report Date: 04/09/2024
Date Signed: 04/09/2024 01:57:46 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/09/2024 01:57 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:NEW WEST HAVEN II (ADC)FACILITY NUMBER:
097003240
ADMINISTRATOR/
DIRECTOR:		REBECCA LEIKAUFFACILITY TYPE:
775
ADDRESS:2551 CAMEO LANETELEPHONE:
(888) 852-5930
CITY:CAMERON PARKSTATE: CAZIP CODE:
95682
CAPACITY: 28CENSUS: 0DATE:
04/09/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator Jennifer ScarberryTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 04/09/24, Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains , arrived at the facility unannounced to conduct an annual visit . LPAs met with Facility Administrator, Jennifer Scarberry and explained the purpose of the visit.


Facility has been non-operational for over 3 years in part, due to the pandemic.

Facility is not scheduled to reopen anytime in the near future.

Administrator / Licensee shall contact Community Care Licensing upon reopening.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report left at the facility.








SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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