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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624366
Report Date: 05/25/2023
Date Signed: 05/25/2023 01:29:13 PM

Document Has Been Signed on 05/25/2023 01:29 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:COGER, HEATHERFACILITY NUMBER:
343624366
ADMINISTRATOR:COGER, HEATHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 207-2249
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
05/25/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Heather CogerTIME COMPLETED:
01:45 PM
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On Thursday, May 25, 2023 at approximately 12:55 PM, Licensing Program Analyst (LPA) Josiah Gathing met with Licensee Heather Coger for the purpose of an unannounced Licensee initiated case management inspection. During today's inspection there were five children present. Licensee's spouse was also present during today's inspection. All individuals subject to criminal record approval have been cleared. The purpose of today's inspection was to change the back yard from off-limits to on-limits.

During today's inspection, LPA observed some potentially hazardous materials in the side yard to the right of the door into the back yard. LPA was assured that these items would soon be moved to into storage. LPA also observed that the back half of the back yard, including the shed and poultry area, may be potentially hazardous for children. LPA was assured that fencing would be installed to prevent children's access to the off-limits portion of the back yard.

Prior to approval of back yard space the Licensee must provide the following:

1. Proof that the materials in the side yard have been cleared.
2. Proof that the back portion of the back yard has been fenced to prevent children's access.

A copy of this report was reviewed and provided to the Licensee. A Notice of Site Visit was printed and must remain posted in the facility for 30 days following today's inspection. Appeal rights were printed and provided to the Licensee.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
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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