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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500175
Report Date: 04/20/2022
Date Signed: 04/20/2022 10:44:15 AM

Document Has Been Signed on 04/20/2022 10:44 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:BRIGGS, RITAFACILITY NUMBER:
344500175
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
04/20/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rita BriggsTIME COMPLETED:
11:00 AM
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On April 20, 2022, Licensing Program Analysts (LPAs) Chayntel Hunter and Salene Mayberry met with Licensee, Rita Briggs for the purpose of an unannounced plan of correction inspection to clear a Type B deficiency, which was issued on 3/15/22 for failing to keep the home clean and orderly.

During today's inspection LPAs toured all inside and outside areas accessible to children in care and observed five children being supervised by Licensee. LPAs observed the backyard to be free of chicken feces, the walls and baseboards were clean, and the kitchen counter surfaces were uncluttered.



The deficiency cited on 3/15/22 is cleared effective today. A Proof of Correction letter was provided. LPA Mayberry posted the Notice of Site Visit and confirmed Licensee understands it must remain posted for 30 days, and that a failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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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