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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093606933
Report Date: 09/24/2019
Date Signed: 09/24/2019 11:55:46 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - FRANCISCO (PS)FACILITY NUMBER:
093606933
ADMINISTRATOR:DUFFY,MICHELLEFACILITY TYPE:
850
ADDRESS:2220 FRANCISCO DR.TELEPHONE:
(916) 941-0358
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:120CENSUS: 55DATE:
09/24/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Michelle DuffyTIME COMPLETED:
12:15 PM
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An unannounced case management inspection was made today by Licensing Program Analyst Owens and Blesi. The purpose of the inspection was to conduct an interview with staff regarding an incident unrelated to this facility.

No deficiencies
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina OwensTELEPHONE: 916-263-6280
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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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