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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623950
Report Date: 02/06/2024
Date Signed: 02/06/2024 03:46:14 PM

Document Has Been Signed on 02/06/2024 03:46 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TOTS OF LOVE - CITRUS HEIGHTSFACILITY NUMBER:
343623950
ADMINISTRATOR:COURTNEY WILLIAMSFACILITY TYPE:
830
ADDRESS:7312 ANTELOPE ROADTELEPHONE:
(916) 560-9699
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
02/06/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Vicki VeigaTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Michelle Perez, met with acting director, Vicki Veiga, for the purpose of an unannounced visit due to a complaint. During the process of investigating the complaint, LPA became aware that the acting director was not cleared to work in the facility due to the lack of a criminal record clearance.

LPA found that the acting director, Vicki Veiga had not gone through the livescan process, and was told that prior fingerprints were transferred from a facility that had already separated Vicki several years before.

Due to this information, the acting director did not have an eligible criminal record clearance to work in the facility.

Based on the information obtained and through observations, a citation "A" was issued during today's visit. The acting director will not return to the facility until there is an eligible fingerprint clearance on file.
Facility must have all current and incoming parents/guardians, read/review this report and acknowledge the report, for one year from today's date. The parents/guardians must sign the LIC9224 (Acknowledgment of Receipt of Licensing Reports) and the facility must placed the signed forms in each child's file.

Failure to place the LIC9224 in each file, will result in a subsequent citation.
This report was reviewed with acting director, Vicki Viega, and a Notice of Site Visit was provided and will be posted for 30-days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2024
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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Document Has Been Signed on 02/06/2024 03:46 PM - It Cannot Be Edited


Created By: Michelle Perez On 02/06/2024 at 02:28 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: TOTS OF LOVE - CITRUS HEIGHTS
FACILITY NUMBER: 343623950

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
02/07/2024
Section Cited
CCR
101170(e)(1)

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
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Acting director will not remain in the facility until the livescan has been completed and a criminal record clearance is granted. In the interim the program director will step into place.
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Obtain a California clearance or a criminal record exemption as required by the Department. This was not evidenced by: LPA finding that acting director did not have livescan prints completed and cleared before working in the facility
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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:Keven Peters
LICENSING EVALUATOR NAME:Michelle Perez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2024


LIC809 (FAS) - (06/04)
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