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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 292701043
Report Date: 06/20/2024
Date Signed: 06/21/2024 10:00:43 AM

Document Has Been Signed on 06/21/2024 10:00 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:ELEVATION TRUCKEEFACILITY NUMBER:
292701043
ADMINISTRATOR/
DIRECTOR:		BANKERT, JEANNE MFACILITY TYPE:
775
ADDRESS:10344 & 10356 DONNER PASS RD.TELEPHONE:
(530) 386-0890
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY: 30CENSUS: 12DATE:
06/20/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Jeanne Marliese BankertTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 6/20/2024 LPA Tryon traveled to the facility to conduct an annual visit. LPA met with Director Jeanne Marliese Bankert. The program currently has 12 participants, and 2 new participants are planning to start soon. Program currently has 5 staff. LPA toured the program with Mrs. Bankert including classrooms, art room, offices, space to rest/relax, bathrooms, art gallery, etc. The program spends a lot of time out in the community. The program recently obtained a 15 passenger van.

The facility appears to be safe, clean, well-furnished and pleasant. Smoke detectors/carbon monoxide detectors are installed.

LPA reviewed the CARE Tool with Mrs. Bankert.

LPA was able to interview 2 participants, and said hello to others. All appeared to be enjoying the program.

At this time, the program is in substantial compliance with the regulations.

Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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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