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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617887
Report Date: 01/10/2024
Date Signed: 01/10/2024 10:41:35 AM

Document Has Been Signed on 01/10/2024 10:41 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LOPEZ, ALMAFACILITY NUMBER:
343617887
ADMINISTRATOR:LOPEZ, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 393-1847
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/10/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Alma LopezTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 10:15am for a Plan of Correction inspection regarding the deficiencies cited on LIC809D dated 12/6/23. LPA met with licensee, Alma Lopez. Also present was licensee’s assistance. Present at time of inspection there were 10 children.

Based upon today’s inspection, LPA’s observed that all deficiencies are cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative] Alma Lopez.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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