<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623950
Report Date: 02/06/2024
Date Signed: 02/06/2024 03:47:35 PM

Document Has Been Signed on 02/06/2024 03:47 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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Michelle Perez, met with acting director, Vicki Veiga, at approximately 11:45AM, for the purpose of an unannounced visit due to a complaint. During the process of investigating the complaint, LPA found that there was a new
director in place, and that licensing was not made aware of these changes within the 10-day period. The new director had been in the position for a month and a half.

LPA explained the Title 22 regulations when hiring a new director and reporting requirements to licensing. Facility will submit acting director's information to licensing for full review.

Due to the information obtained during today's visit, a citation B, was issued.

Citation recorded on 809-D
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)
Page: 1 of 2
Document Has Been Signed on 02/06/2024 03:47 PM - It Cannot Be Edited


Created By: Michelle Perez On 02/06/2024 at 03:07 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)
Type B
03/06/2024
Section Cited
CCR
101212(b)

1
2
3
4
5
6
7
The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
1
2
3
4
5
6
7
Facility will submit the director's package to LPA directly (via e-mail).
8
9
10
11
12
13
14
This was not evidenced by:
Based on communication and observation, LPA found that the facility did not notify licensing within 10-days of the change in directors.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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)
Page: 2 of 2