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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500508
Report Date: 01/26/2023
Date Signed: 01/26/2023 01:54:52 PM

Document Has Been Signed on 01/26/2023 01:54 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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:REICHENBACH, REBEKAHFACILITY NUMBER:
574500508
ADMINISTRATOR:REICHENBACH, REBEKAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 204-0254
CITY:WOODLANDSTATE: CAZIP CODE:
95695
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
01/26/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:licensee, Rebekah ReichenbachTIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Lauren Scott and Mariya Melnichuk met with Licensee, Rebekah Reichenbach on January 26, 2023 at 1:30pm for the purpose of an unannounced plan of correction inspection to clear a Type B deficiency, which was issued on 12/21/22 for not having a fire extinguisher on site.

During today's inspection LPAs toured all areas accessible to children in care and observed nine children present with the licensee and one assistant. LPA observed a 2A10BC fire extinguisher on site.

Deficiency cited on 12/21/22 is cleared effective today. Proof of correction letter was provided. Notice of Site Visit was posted. This report was reviewed and discussed with the Licensee.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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