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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624757
Report Date: 09/19/2024
Date Signed: 09/20/2024 10:31:16 AM

Document Has Been Signed on 09/20/2024 10:31 AM - 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: 2DATE:
09/19/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Latoyna DillonTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On September 19, 2024, Licensing Program Analysts (LPAs) Stephanie Piring arrived at the facility for the purpose of an unannounced case management visit. The purpose of the visit was to interview a child for an incident unrelated to this facility. Upon arrival, LPA observed 2 children supervised by the licensee.

This report was reviewed with Licensee, Latonya Dillon.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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