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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347003429
Report Date: 11/09/2020
Date Signed: 11/09/2020 03:39:22 PM

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.270
SACRAMENTO, CA 95833
FACILITY NAME:SKY PARK GARDENSFACILITY NUMBER:
347003429
ADMINISTRATOR:SHERRY RICHARDSONFACILITY TYPE:
740
ADDRESS:5510 SKY PARKWAYTELEPHONE:
(916) 422-5650
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:144CENSUS: DATE:
11/09/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Sherry RichardsonTIME COMPLETED:
03:27 PM
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Licensing Program Analyst (LPA) Suong Teh contacted the facility on this day via telephone to conduct a Case Management. This visit was conducted by telephone in lieu of a physical visit due to the current COVID-19 precautions. LPA spoke with the facility administrator Sherry Richardson and explained the purpose of the visit.

Licensing Program Analyst (LPA) Suong Teh received a ceased processing the background check for Staff (S1). S1 did not receive a criminal record clearance. This individual has to be removed immediately and cannot come back to the facility and have contact with clients.

LPA spoke to the facility administrator Sherry Richardson and learned that the individual is not now and never has been employed at the facility

A copy of this report has been emailed to the facility and the administrator was advised that a signed copy of this report shall be emailed to LPA.

SUPERVISOR'S NAME: Krystall MooreTELEPHONE: (916) 263-4707
LICENSING EVALUATOR NAME: Tuyet-Suong TehTELEPHONE: (916) 709-6803
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2020
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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