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Facility Evaluation Report

Casa Doris, Elk Grove09/16/2025Licence 342701489

Capacity6
Census4
Date signed09/16/2025 02:30:15 PM
Name of licensing program analystRenee Campbell
Name of licensing program managerLisa Rios
The inspector’s account

On 09/16/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility regarding a case management issue. Upon entry to the facility, LPA Campbell met with two staff (S1 and S2) who were present.

LPA Campbell reviewed the Licensing Information System (LIS) and Guardian portal to determine if S1 and S2 were associated at this time. It was observed that S2 was not associated to this facility as of September 16, 2025. An immediate civil penalty of $100 was issued at the time of this visit due to violation of Section 87355(e)(2).

Based on the information gathered during the course of this visit, per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. An exit interview was conducted, and a copy of the report will be given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction