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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624757
Report Date: 07/18/2024
Date Signed: 07/18/2024 01:07:46 PM

Document Has Been Signed on 07/18/2024 01:07 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:DILLON, LATONYAFACILITY NUMBER:
343624757
ADMINISTRATOR/
DIRECTOR:		DILLON, LATONYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(817) 870-6319
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
07/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Latonya DillonTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On Thursday, July 18, 2024, Licensing Program Analyst (LPA) Amanda Sutter met with Licensee, Latonya Dillon, for the purpose of an unannounced case management inspection. The purpose of todays inspection is to gather documents from licensee. Licensee's own 2 children and 1 minor family member was also present. All individuals subject to criminal background review have obtained a criminal record clearance.

Based on the inspection, no citations have been issued. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Latonya Dillon.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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