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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500515
Report Date: 04/12/2022
Date Signed: 04/13/2022 01:38:47 PM

Document Has Been Signed on 04/13/2022 01:38 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:HILL, DENISHAFACILITY NUMBER:
394500515
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
04/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Denisha HillTIME COMPLETED:
02:00 PM
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On Wednesday, April 13, 2022, at 01:05 pm, Licensing Program Analyst (LPA) Elvira Sierra met with Licensee, Denisha Hill for a Case Management inspection. Licensee is requesting to add the backyard of the home to the day care areas. Backyard was previously indicated as off limits. Present in the facility was Licensee and Licensee's mother with 2 children. One of the children was Licensee's own child.

Backyard was inspected today and appear to be safe for children’s use. Backyard is fenced for supervision and is free of any debris or dangerous conditions. On today’s inspection backyard is approved to be used by the daycare children. Also Licensee is requesting to use the front yard for outdoor activities. Licensee was advised that 100% supervision is required in unfenced areas. Licensee stated daycare children will not be using the trampoline that is located in the backyard.

This report was read and reviewed with the Licensee, Danisha Hill and a copy was provided along with a notice site visit which is to be posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2022
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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