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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005712
Report Date: 09/24/2024
Date Signed: 09/24/2024 12:52:38 PM

Document Has Been Signed on 09/24/2024 12:52 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LOCAL AMBASSADORS INCFACILITY NUMBER:
347005712
ADMINISTRATOR/
DIRECTOR:		HOLLAR, ANEETAFACILITY TYPE:
775
ADDRESS:870 GLENN DRIVE, STE 100TELEPHONE:
(916) 606-6770
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 30CENSUS: 24DATE:
09/24/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Administrator Aneeta HollarTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 09/24/24, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct an annual inspection. LPA met with Administrator Aneeta Hollar during today's inspection. During today's inspection there were 24 clients attending program.

LPA toured the facility with the administrator. LPA observed common activity rooms, kitchen area, and bathrooms. Emergency exit was clear and accessible. In the areas toured no immediate health, safety, or personal rights violations were observed. The facility appeared to be clean and free from odors. There is a locked area for toxins and clients bring their own lunch to program. Facility has working fire extinguisher and was ready for emergency use. Facility was conducting quarterly fire and disaster drill as required.

LPA reviewed two (2) client files and two (2) staff files. Facility does not manage clients medications on cite. A review of staff records indicates that all facility staff have received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid and CPR certificates and training is being completed. Clients files were found to be complete.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of the report was provided.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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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