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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623496
Report Date: 03/21/2022
Date Signed: 03/21/2022 12:15:05 PM

Document Has Been Signed on 03/21/2022 12:15 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:NORMAN, LATASHAFACILITY NUMBER:
343623496
ADMINISTRATOR:NORMAN, LATASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 397-6221
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
03/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Latasha NormanTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Latasha Norman, for an inspection of plan of correction. Purpose of the inspection was explained.

During today’s inspection, LPA observed the licensee has completed the EMSA approved training and per certificate, the training is valid until March 2024. This cleared the deficiency cited on February 03, 2022. The licensee is in compliance with child care regulations.

Copy of this report was reviewed and provided to the licensee. No deficiencies are cited today. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2022
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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