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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293623985
Report Date: 08/17/2023
Date Signed: 08/17/2023 01:36:29 PM

Document Has Been Signed on 08/17/2023 01:36 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:DYKES, SHARONFACILITY NUMBER:
293623985
ADMINISTRATOR:SHARON DYKESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 559-8266
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/17/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sharon DykesTIME COMPLETED:
01:45 PM
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On 8/17/2023, Licensing Program Analyst (LPA) Matthew Gallo met with Licensee Sharon Dykes for the purpose of a random case management visit to inspect a recently installed above-ground pool. Upon arrival, LPA observed 9 children, composed of 4 infants and 5 preschool children, supervised by licensee and assistant.

LPA inspected the pool area and observed the new construction to meet all standards required by licensing. The pool is an above-ground structure surrounded by a six foot fence that allows clear view of the pool and features two lockable gates that self-close and swing outward. Licensee understands that gates must be locked at all times when the pool is not in use.

No deficiencies were cited during today's inspection.

Exit interview conducted and report was reviewed with the licensee Sharon Dykes. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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