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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610265
Report Date: 02/20/2020
Date Signed: 02/20/2020 02:38:20 PM

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:CADENCE EDUCATION, INC - THEONAFACILITY NUMBER:
313610265
ADMINISTRATOR:ALI EBERTFACILITY TYPE:
830
ADDRESS:2820 THEONA WAYTELEPHONE:
(916) 415-0780
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:36CENSUS: 22DATE:
02/20/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Celeste DoranTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Jeremey McClain met with Assistant Director Celeste Doran for an unannounced Case Management Inspection regarding an Unusual Incident Reported received via email.

LPA gathered a census of 22 infants supervised by six teachers. Nine of the infants were napping while being supervised by two teachers during the inspection.

It was reported that a child fell over on a chair and cut their lip, causing it to bleed. During today’s inspection, LPA conducted interviews with teachers, and viewed footage of the incident. LPA also made observations of the area where the incident occurred and reviewed the child’s file. Safety and supervision were discussed during today’s inspection. It was determined that there were no violations of Title 22 regulations.

This report was reviewed with the license. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020
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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