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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700949
Report Date: 01/24/2023
Date Signed: 01/24/2023 04:34:59 PM

Document Has Been Signed on 01/24/2023 04:34 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:FIELDALE FACILITYFACILITY NUMBER:
342700949
ADMINISTRATOR:HUFF, MARCUSFACILITY TYPE:
735
ADDRESS:6261 FIELDALE DRIVETELEPHONE:
(323) 459-8068
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 4CENSUS: 4DATE:
01/24/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Marcus Huff, LaVonne HuffTIME COMPLETED:
04:10 PM
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An office meeting was held today in the Sacramento South Regional Office via Microsoft Teams. The meeting was initiated by Alta Regional Center (ARC) Client Service Manager (CSM) Rowena Lopez due to Resident Personal Rights concerns. Present in the meeting was Community Care Licensing (CCL) Representatives; Licensing Program Manager (LPM) Stephen Richardson, Licensing Program Analyst (LPA) Christina Valerio, ARC Representatives; Rowena Lopez, Ben Villamor, and Denise Hopkins, and NURTURING RESIDENTIAL HOMES LLC Representatives; Marcus Huff and LaVonne Huff.

Topics of Discussion:
  • Consumer Personal Rights
  • Activities and Outings
  • Administrator Schedule
  • Staffing Schedules


The facility will do the following to maintain compliance:
  • Continue to implement changes as recommended by Alta Regional Center
  • Continue to provide training to staff regarding consumer personal rights
  • Follow Title 22 and Title 17 regulations



Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 6, no deficiencies are being cited. An exit interview was held with Licensee Marcus and LaVonne, and a copy of this report will be provided via e-mail. A signature will be obtained on the hard copy.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2023
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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