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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093604119
Report Date: 03/20/2025
Date Signed: 03/20/2025 11:14:29 AM

Document Has Been Signed on 03/20/2025 11:14 AM - 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:HEAVENLY SKI RESORTFACILITY NUMBER:
093604119
ADMINISTRATOR/
DIRECTOR:		SIMPSON, CASSIDYFACILITY TYPE:
830
ADDRESS:3860 SADDLE ROADTELEPHONE:
(530) 542-6915
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 6DATE:
03/20/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Cassidy SimpsonTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On March 20, 2025, Licensing Program Analysts (LPAs) Soleil Marx and Erwina Pascual-Golamco, met with Facility Representative, Cassidy Simpson, for the purpose of conducting an unannounced plan of correction inspection. The purpose of today's inspection was explained.

LPAs observed a census of six infants being supervised by two staff.

This facility was cited two type B deficiencies on February 11, 2025 under HSC 1596.7995(a)(1) and CCR 101416.2(d) for being out of compliance with staff records pertaining to transcripts and immunizations.

During today's inspection, LPAs reviewed records of staff files for present staff and verified files were complete with records of required immunizations and transcripts. The deficiencies have been cleared by today's visit and a letter of cleared deficiencies has been provided.

Exit interview conducted and report reviewed with Facility Representative. A Notice of Site visit was provided and must remain posted for 30 days.


SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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