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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573621840
Report Date: 11/04/2022
Date Signed: 11/04/2022 02:37:50 PM

Document Has Been Signed on 11/04/2022 02:37 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:CARING CONNECTION CHILDREN'S CENTERFACILITY NUMBER:
573621840
ADMINISTRATOR:MELANIE FRISTOEFACILITY TYPE:
830
ADDRESS:703 WESTACRE ROADTELEPHONE:
(916) 899-9121
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY: 11TOTAL ENROLLED CHILDREN: 11CENSUS: 3DATE:
11/04/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lauren GarciaTIME COMPLETED:
02:45 PM
NARRATIVE
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On 11/04/2022 at 11:45 AM, Licensing Program Analysts (LPAs) Tiffanie Diep and Arianna Manabat met with Director Lauren Garcia for the purpose of a case management inspection.

LPAs observed one staff who was present with children and does not have a current criminal record clearance. This is an immediate risk to children in care and is an immediate civil penalty of $500.

LPA informed Director that all staff are required to obtain a current criminal record clearance prior to initial presence to the facility. Title 22 regulations are being cited on the subsequent 809-D page.

LPA informed the Director, Lauren Garcia, that this report dated 11/04/2022 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care. LPA informed the Director to provide a copy of this licensing report dated 11/04/2022 that documents the Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed LIC 9224, Acknowledgement of Receipt of Licensing Reports, must be placed in each child's file for verification.

Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2022
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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Document Has Been Signed on 11/04/2022 02:37 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 11/04/2022 at 01:49 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: CARING CONNECTION CHILDREN'S CENTER
FACILITY NUMBER: 573621840

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/07/2022
Section Cited
CCR
101170(e)(1)

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101170 Criminal Record Clearance (e) All individuals subject to a criminal record review...shall prior to working...in a licensed facility: (2) Request a transfer of a criminal record clearance as
This requirement was not met as evidenced by:
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Director has sent the staff to get their fingerprints re-printed.
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Based on observation and record review, the licensee did not ensure a staff member obtained a criminal record clearance prior to initial presence to the facility which poses an immediate health, safety or personal rights risk to persons in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Jeanne Smith
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 11/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2022


LIC809 (FAS) - (06/04)
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