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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623049
Report Date: 11/07/2023
Date Signed: 11/07/2023 02:56:38 PM

Document Has Been Signed on 11/07/2023 02:56 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:WEST, LAQUISHAFACILITY NUMBER:
343623049
ADMINISTRATOR:WEST, LAQUISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 583-1665
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
11/07/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Laquisha WestTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee, Laquisha west, for an inspection for plan of correction. The facility the cited on October 03, 2023 for not having all of the required documents for each child in care.

During today's inspection, LPA inspected the facility and reviewed the facility records. LPA observed the licensee has an updated children roster on file. LPA observed licensee has all of the required documents of each child in care including immunization records. LPA observed the licensee has completed the Mandated reporter training and has the certificate on file. Per certificate, the training is valid until October 28, 2025. Since previous inspection, Licensee has conducted another fire drill and logged it. Per log, last drill was conducted on November 03, 2023.

During today's inspection, LPA did not observe any violation of any regulations. LPA observed the licensee has the complete records of each child and cleared the deficiency. 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: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2023
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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