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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573615400
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:00:36 PM

Document Has Been Signed on 03/05/2025 01:00 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:YCOE ALYCE NORMAN HSFACILITY NUMBER:
573615400
ADMINISTRATOR/
DIRECTOR:		KATRINA HOPKINSFACILITY TYPE:
850
ADDRESS:1200 ANNA STREETTELEPHONE:
(530) 668-3030
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95605
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 107DATE:
03/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Katrina HopkinsTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA) Lauren Scott met with facility representative, Katrina Hopkins to follow up on an Unusual Incident Report (UIR) that was reported to Community Care Licensing on 01/31/2025.

The facility reported the UIR to Community Care Licensing within 24 hours and submitted a written report within 7 days.

LPA interviewed staff and obtained information pertinent to the incident. LPA reviewed and discussed this report with the facility.

Facility evaluation report was reviewed and discussed with facility representative, Katrina Hopkins. An exit interview was conducted. 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.

In the areas that were evaluated, no deficiencies were cited during today's inspection.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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