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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500508
Report Date: 02/21/2024
Date Signed: 02/21/2024 01:10:59 PM

Document Has Been Signed on 02/21/2024 01:10 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
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: 7DATE:
02/21/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:licensee, Rebakah ReichenbachTIME COMPLETED:
01:30 PM
NARRATIVE
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On February 21, 2024 Licensing Program Analyst (LPA) Lauren Scott and Licensing Program Manager (LPM) Chayntel Hunter met with licensee, Rebekah Reichenbach for the purpose of a case management inspection.

On January 30, 2024, LPA Scott and LPM Hunter arrived at the facility to open a complaint. Upon arrival, LPA saw licensee with another staff. Licensee stated it was her daughter and she lives in the home. Licensee stated her daughter has been helping her care for children for approximately one month.

LPA Scott did not see licensee’s daughter on the background clearance list at time of inspection. Licensee stated she had not completed the process yet.

Title 22 deficiencies have been cited on subsequent page, LIC 809D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 809D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, acknowledging receipt of Licensing Reports LIC 809D in each child's files.

An exit interview was conducted, and a Plan of Correction was reviewed and developed with the licensee, Rebekah Reichenbach. A copy of this report and appeal rights were discussed and left with the licensee. A Notice of Site Visit was posted by LPA’s and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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 02/21/2024 01:10 PM - It Cannot Be Edited


Created By: Lauren Scott On 02/21/2024 at 12:54 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: REICHENBACH, REBEKAH
FACILITY NUMBER: 574500508

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/22/2024
Section Cited
CCR
101170(e)(1)

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(a) All individuals subject to a criminal record review... prior to working...(1) Obtain a California clearance or a criminal record exemption as required by the Department...
This requirement was not met as evidenced by:
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Staff member will obtain a fingerprint clearance and submit proof to LPA Scott by POC date. Staff member will not provide care to children until fingerprints are clear
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Based on record review and interview, one staff member was not background cleared nor associated to the facility.
This poses an immediate health, safety, or personal rights risk to children in care.
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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:Chayntel Hunter
LICENSING EVALUATOR NAME:Lauren Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2024


LIC809 (FAS) - (06/04)
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