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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 557005053
Report Date: 11/04/2024
Date Signed: 11/04/2024 12:38:53 PM

Document Has Been Signed on 11/04/2024 12:38 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:COMMUNITY COMPASS, INC., THEFACILITY NUMBER:
557005053
ADMINISTRATOR/
DIRECTOR:
SKIDMORE, RICHARDFACILITY TYPE:
775
ADDRESS:19411 SUSAN WAYTELEPHONE:
(209) 588-1364
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY: 35CENSUS: DATE:
11/04/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Richard SkidmooreTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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An Office Meeting was conducted on this day in the Sacramento South Regional Office via Microsoft Teams. The purpose of this meeting was to follow up with the facilities control of property and the forfeiture of license. Present in the meeting was Regional Manager Stephenie Doub, Licensing Program Manager (LPM) LPM Liza King, LPM Lisa Rios, Licensee/Administrator Richard Skidmore, and Valley Mountain Representatives Brian Bennett and Robert Fernandez.

On 10/31/2024 the Department learned that the licensee had lost control of property which has since been granted to the CHOW applicant. The Department provided notification of forfeiture of license and since called this meeting to address the transfer trauma of residents that may result from the temporary closure of this and associated ADP's.
The focus of the concerns at this time include:
  • Control of Property - Licensee provided a copy of the previous lease which Licensee reported is current and active
  • Administrator Designee - LIC200 and LIC308 received by the Department appointing Renee Tang
  • VMRC and licensee confirmed SCorp was vendored through VMRC, however, facility is licensed as a sole proprietor
  • LIcensee confirmed Liability Insurance has been canceled- licensee reported that he is unable to get insurance for the Scorp as it has been dissolved.
  • Licensee confirmed that the business was sold

The licensee wanted an update on the pending CHOW applications which are under review with the Department. The licensee will look into obtaining Liability insurance. The licensee asked to what extent an excluded individual can participate in the operation of the facility. RM Doub provided guidance on the acceptable roles an excluded individual could participate in such as unclogging a drain after hours with no clients present.

No citations issued today, an exit interview was conducted via telephone with Richard Skidmore.
SUPERVISORS NAME: Krystall Moore
LICENSING EVALUATOR NAME: Liza King
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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