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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623019
Report Date: 03/13/2025
Date Signed: 03/13/2025 09:31:29 AM

Document Has Been Signed on 03/13/2025 09:31 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:PARKER, MARK & SOKOVETS, OLGAFACILITY NUMBER:
343623019
ADMINISTRATOR/
DIRECTOR:		PARKER,MARK &SOKOVETS,OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(219) 384-1228
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/13/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Mark ParkerTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
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Licensing Program Analyst (LPA), Michelle Perez, met with licensee Mark Parker, for the purpose of case management Plan of Correction (POC) visit.

On February 18, 2025, LPA cited for pool regulations not met and for immunization records missing for a few children.

Today, LPA verified, all pool regulations were met and were placed appropriately. LPA also verified that the children whose immunizations were missing, are no longer in care. Licensee is aware that all immunizations are to be present for all children enrolled.

LPA was able to clear the citations today.



Notice of site of visit was posted & this report was discussed with licensee
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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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