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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002980
Report Date: 04/08/2024
Date Signed: 04/08/2024 09:40:01 AM


Document Has Been Signed on 04/08/2024 09:40 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:SUMMER SUNSHINE LLCFACILITY NUMBER:
315002980
ADMINISTRATOR:NICULAI, LEONTINFACILITY TYPE:
740
ADDRESS:859 SHETLAND COURTTELEPHONE:
(916) 755-9575
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:6CENSUS: 6DATE:
04/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Nadia NiculaiTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Melissa Parks arrived on Monday April 8, 2024 to complete a case management visit regarding Fire Department approved staff quarters.

LPA met with Administrator Nadia and completed a walk-through of the new staff bedroom. The Licensee converted part of the garage into staff quarters. The Fire Department conducted an inspection on 4/1/2024 and granted approval of this conversion. LPA observed the updated fire clearance and updated facility sketch in the facility hallway.

No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa ParksTELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:
DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2024
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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