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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
313615469
Report Date:
02/24/2025
Date Signed:
02/24/2025 12:03:12 PM
Document Has Been Signed on
02/24/2025 12:03 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:
PIET, ALISON
FACILITY NUMBER:
313615469
ADMINISTRATOR/
DIRECTOR:
PIET, ALISON
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(916) 847-3039
CITY:
ROSEVILLE
STATE:
CA
ZIP CODE:
95678
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
12
DATE:
02/24/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:
Alison Piet-Licensee
TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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An unannounced case management inspection was conducted today by Licensing Program Analyst Owens. The purpose of the inspection is to interview a child on an incident unrelated to this facility.
No deficiencies at time of inspection.
SUPERVISORS NAME
:
Mai Lor
LICENSING EVALUATOR NAME
:
Katrina Owens
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/24/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/24/2025
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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