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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624167
Report Date: 12/23/2024
Date Signed: 12/23/2024 12:56:27 PM

Document Has Been Signed on 12/23/2024 12:56 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 - CARMICHAELFACILITY NUMBER:
343624167
ADMINISTRATOR/
DIRECTOR:		VALYNCIA NIMSFACILITY TYPE:
850
ADDRESS:2921 GARFIELD AVENUETELEPHONE:
(916) 689-8687
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 15DATE:
12/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Aaliyah HarrisTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On December 23, 2024 at approximately 11:30 AM, Licensing Program Analyst (LPA) Josiah Gathing met with Director Aaliyah Harris to follow up on a self-reported unusual incident report submitted to the Licensing office on December 12, 2024. LPA conducted interviews and made observations. No deficiencies were cited during today's inspection.

This report was reviewed and provided to the Director. A Notice of Site Visit was provided and shall remain posted in the facility for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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