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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700524
Report Date: 08/17/2023
Date Signed: 08/18/2023 12:11:23 PM


Document Has Been Signed on 08/18/2023 12:11 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:VRETCHEN MARIE CAREFACILITY NUMBER:
342700524
ADMINISTRATOR:GARCIA, VRETCHEN MARIE JFACILITY TYPE:
740
ADDRESS:7232 CIRCLET WAYTELEPHONE:
(916) 242-8999
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:6CENSUS: 0DATE:
08/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Edwin Garcia, AdministratorTIME COMPLETED:
01:15 PM
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On 8/17/2023 LPA visited the facility to conduct an annual. LPA met with Administrator Edwin Garcia.
The home still does not have residents at this time. The home has not had residents since opening.

LPA toured the house with Mr. Garcia. The facility appears to be in substantial compliance with regulations. The facility has food and is completely furnished at this time. Smoke detectors and carbon monoxide detectors are installed. No hazards noted.

LPA reviewed the CARE Tool with the Administrator.

At this time, the facility appears to be in substantial compliance with the regulations.

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
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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