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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
342701164
Report Date:
01/23/2025
Date Signed:
01/23/2025 02:54:27 PM
Document Has Been Signed on
01/23/2025 02:54 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 SOUTH ASC
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
CHIDIKE CARE HOME LLC
FACILITY NUMBER:
342701164
ADMINISTRATOR/
DIRECTOR:
EMEKA OFODIRE
FACILITY TYPE:
735
ADDRESS:
8520 SUNRISE WOODS WAY
TELEPHONE:
(916) 478-1844
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95828
CAPACITY:
4
CENSUS:
3
DATE:
01/23/2025
TYPE OF VISIT:
POC
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:35 PM
MET WITH:
Elias Umoke
TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 1/23/25 Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced plan of correction (POC) inspection to ensure previous deficiency has been corrected an all POC documents provided.
LPA reviewed written plan of correction and incident reports that all meet requirements for a written plan of correction.
No deficiencies observed or cited during today's inspection.
Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME
:
Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME
:
Kevin Gould
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/23/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/23/2025
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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