<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 090303909
Report Date: 05/03/2024
Date Signed: 05/03/2024 11:31:06 AM


Document Has Been Signed on 05/03/2024 11:31 AM - 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:COUNTRY DAY MONTESSORI SCHOOLFACILITY NUMBER:
090303909
ADMINISTRATOR:CANAVERO, CAROLFACILITY TYPE:
850
ADDRESS:2771 SPEAR STREETTELEPHONE:
(530) 626-1202
CITY:PLACERVILLESTATE: CAZIP CODE:
95667
CAPACITY:30CENSUS: 27DATE:
05/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Carol CanaveroTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 3rd, 2024, Licensing Program Analyst (LPA) Soleil Marx and Licensing Program Manager (LPM) Natalie Dunaway, met with Director, Carol Canavero and Facility Representative, Julie Canavero, for the purpose of conducting an announced licensee Initiated case management inspection.

During today's visit LPA/LPM toured the facility and provided consultation regarding upcoming major renovation plans involving structural changes.

Exit interview conducted and report reviewed with Director, Carol Canavero. Notice of Site Visit provided and must remain posted 30 days,
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Soleil MarxTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1