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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393621720
Report Date: 07/20/2023
Date Signed: 07/20/2023 10:43:23 AM

Document Has Been Signed on 07/20/2023 10:43 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SCANTLEN, LISAFACILITY NUMBER:
393621720
ADMINISTRATOR:SCANTLEN, LISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 483-4735
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
07/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:licensee, Lisa ScantlenTIME COMPLETED:
11:00 AM
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Licensing Program Analysts (LPA’s) Mariya Melnichuk and Lauren Scott conducted an unannounced case management inspection at the family child care home of Lisa Scantlen. The purpose of the inspection is to verify the required removal of the individual not cleared to live or work at the facility. LP's has confirmed the individual has been removed and is not currently living or working in the home. LPA’s toured the facility inside and out.

Based on evidence obtained during today's inspection, the LPA has verified that the individual is not present, employed, or residing at the facility. LPA has advised the licensee to disassociate the individual from their roster and submit an updated LIC 500.

As a result of today’s inspection, No Title 22 deficiency cited. Report was reviewed with Licensee, Lisa Scantlen. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Verification of removal is complete.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Mariya Melnichuk
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023
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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