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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 553601807
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:04:47 PM

Document Has Been Signed on 08/23/2024 01:04 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MCKAY, SUSANFACILITY NUMBER:
553601807
ADMINISTRATOR/
DIRECTOR:		MCKAY, SUSANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 533-2871
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:24 PM
MET WITH:Licensee, Susan MckayTIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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On August 23, 2024 Licensing Program Analyst (LPA) Elizabeth Santiago and Licensing Program Manager (LPM) Bettina Engelman met with licensee Susan Mckay for a case management visit. There were five (5) children in attendance and an adult assistant was also present today.

The backyard has an in-ground pool area that is fenced per Title 22 regulations and LPA observed the gate to self-close and self-latch. LPA and LPM inspected the newly installed fencing and gate that separates windows in the off-limits laundry room and daughters bathroom from to the pool area. There are no longer windows or doors that provide direct access into the pool area.

Licensee requested to have bedroom nearest to the living room from on limits to OFF LIMITS.

Exit interview conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Elizabeth Santiago
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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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