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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622148
Report Date: 05/23/2023
Date Signed: 05/23/2023 01:05:40 PM

Document Has Been Signed on 05/23/2023 01:05 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:DAVIS, KATIEFACILITY NUMBER:
343622148
ADMINISTRATOR:DAVIS, KATIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 425-5118
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 2DATE:
05/23/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Katie DavisTIME COMPLETED:
01:30 PM
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On May 23, 2023 at 12:30 PM, Licensing Program Analyst (LPA) Tanya Washington met with Licensee Katie Davis for an unannounced case management inspection regarding deficiencies cited on 03/30/2023. During today's inspection Licensee and her two minor children were present in the home. There were no day-care children present during today's inspection.

LPA toured the entire facility inside and out. LPA observed that the facility has been painted inside and the carpets have been replaced in the living room area and the hallway. LPA observed that the rooms have been cleaned and de-cluttered and the outdoor patio has also been cleaned. The Licensee has updated the facility sketch and provided an updated copy to LPA. The current off limit areas in the home are: master bedroom and garage. Licensee acknowledged that children may not have access to any off limit areas of the home.

LPA observed that the poisons which were previously stored on the refrigerator have been relocated and are no longer stored in an open area. Licensee stated that she now stores them in a locked container which is located in the off limits garage.

LPA observed that the Licensee and her assistant Robin Patche have both completed the required Mandated Reporter Training on 04/24/2023. The Licensee has also conducted a fire drill with the children on 04/18/2023.

All deficiencies previously cited are cleared as of today. Notice of site visit posted and appeal rights are provided. This report was reviewed with the Licensee and a copy of the report and a letter of cleared deficiencies was provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2023
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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