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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622630
Report Date: 11/26/2024
Date Signed: 11/26/2024 02:09:43 PM

Document Has Been Signed on 11/26/2024 02:09 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TOTS OF LOVE - CITRUS HEIGHTSFACILITY NUMBER:
343622630
ADMINISTRATOR/
DIRECTOR:		MITCHELL,GRICELDAFACILITY TYPE:
850
ADDRESS:7312 ANTELOPE ROADTELEPHONE:
(916) 689-8687
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 8DATE:
11/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Conlan KwongTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 11/26/2024, Licensing Program Analyst, LPA, Michelle Perez, met with acting director Conlan Kwong, for the purpose of case management visit to clear deficiencies dated 10/30/24.

LPA observed and verified the required documents in staff files and the necessary documents needed for the acting director.

LPA printed out the Plan of correction memos for the facility.

A notice of site visit was provided and will be posted for 30 days.
Amanda BlesiTELEPHONE: (916) 263-5824
Michelle PerezTELEPHONE: (916) 594-3812
DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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