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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455920081
Report Date: 04/09/2024
Date Signed: 04/09/2024 01:51:04 PM

Document Has Been Signed on 04/09/2024 01:51 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:CARE ACADEMY DAYFACILITY NUMBER:
455920081
ADMINISTRATOR/
DIRECTOR:		CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:160 MASONIC AVE SUITE BTELEPHONE:
(530) 243-1651
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 60CENSUS: 0DATE:
04/09/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Administrator- Jennifer Cravens TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 04/9/2024, Licensing Program Analyst (LPA) Jaynae Boyles arrived announced at the facility to conduct a pre-licensing inspection. LPA met with Administrator, Jennifer Cravens, and explained the purpose of the visit.

During today's inspection, LPA and Administrator conducted a tour of the interior and exterior of the facility to ensure there is no immediate health, safety and personal rights violation.

Areas toured include but not limited to common areas, two (2) bathrooms, break room.

LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed fire extinguisher last serviced in November of 2023. LPA observed the exterior of the facility to be free of obstruction. The facility has a safe dispersal area in case of an emergency.

LPA observed the facility to have the required posters of Community Care Licensing Division and Long Term Care Ombudsman. .

Pre-licensing passed and LPA completed Component III with the applicant. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application.

Exit interview conducted and a copy of this report was left at the facility

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Jaynae Boyles
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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