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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010234
Report Date: 11/06/2024
Date Signed: 11/06/2024 12:26:49 PM

Document Has Been Signed on 11/06/2024 12:26 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TURNER, LAKITA & EARTHA FCCHFACILITY NUMBER:
483010234
ADMINISTRATOR/
DIRECTOR:
TURNER, LAKITA & EARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 567-1332
CITY:VALLEJOSTATE: CAZIP CODE:
94589
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
11/06/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Eartha and Lakita TurnerTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with Eartha and Lakita Turner to conduct a capacity increase from a small fcch to a large fcch.

The application for the capacity change was received on June 27, 2024. The approved fire clearance was received from the Vallejo Fire Inspector on October 29, 2024. An approved copy of the Std850 (fire safety inspection request) was given to the licensee.

The facility has functioning smoke and carbon monoxide detectors and a fully charge fire extinguisher which is wall mounted in the hallway. The home also has a hardwired pull station in the hallway near the front door.

The licensee is checking with the landlord to obtain a signed LIC9149 (landlord consent) so the facility can be approved with a capacity of 14 instead of 12 children.

Upon receipt of the LIC9149 the home can be approved for a capacity of 14 children. The LIC9149 will need to be received by November 15, 2024.

No deficiencies cited
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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