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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293623239
Report Date: 12/19/2024
Date Signed: 12/19/2024 10:28:03 AM

Document Has Been Signed on 12/19/2024 10:28 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:STITH, LAURENFACILITY NUMBER:
293623239
ADMINISTRATOR/
DIRECTOR:		STITH, LAURENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 205-7447
CITY:PENN VALLEYSTATE: CAZIP CODE:
95946
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
12/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Lauren StithTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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At 9:25am on 12/19/2024, Licensing Program Analyst (LPA) Matthew Gallo met with licensee Lauren Stith for the purpose of a plan of correction visit. Upon arrival, LPA observed a census of 5 children consisting of 4 preschool children and 1 infant. Licensee's assistant was also present during the inspection.

Licensee was previously cited a Type A deficiency on 12/12/2024 due to damage to a mesh pond fence post that resulted in the fence no longer complying with Title 22 regulations regarding the fencing of bodies of water. The plan of correction dictated that licensee would install braces to reinforce the fence posts, and that LPA would conduct a return visit to ensure compliance. During today's visit, LPA observed that a body of water remained in the pond and inspected the new braces to the fence. The licensee has used "T" braces that anchor firmly in the ground and that reinforce the rigidity of the posts. As a result, the fence is in compliance with Title 22 regulations. LPA informed licensee of their responsibility to always ensure that these braces are maintained at all times so that the fence remains in compliance.

Exit interview conducted and report was reviewed with the licensee, Lauren Stith. A notice of site visit was given and must remain posted for 30 days. Appeal rights were also provided.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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