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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623049
Report Date: 02/13/2023
Date Signed: 02/13/2023 12:17:43 PM

Document Has Been Signed on 02/13/2023 12:17 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:WEST, LAQUISHAFACILITY NUMBER:
343623049
ADMINISTRATOR:WEST, LAQUISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 583-1665
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
02/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Laquisha WestTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Laquisha West, for a case management inspection related to an incident. Purpose of the inspection was explained.

The licensee self reported an incident that happened outside the facility on January 24, 2023. During today's inspection, LPA interviewed the licensee and observed the location of incident. Per licensee, there was an aggressive driver in front of her house and caused road rage. Per licensee, facility's children were not involved and were safe during the time of incident. Per licensee, licensee called the law enforcement and a police report was filed. Per licensee, the driver was identified by the law enforcement and was contacted. Per licensee, there has been no other incidents since then.

Based on information collected and today's inspection, LPA did not observe any violation of regulations .Copy of this report was reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2023
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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