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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313617640
Report Date: 09/08/2023
Date Signed: 09/08/2023 01:56:03 PM


Document Has Been Signed on 09/08/2023 01:56 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:MORNINGSTAR MONTESSORIFACILITY NUMBER:
313617640
ADMINISTRATOR:GREEN, SERENAFACILITY TYPE:
850
ADDRESS:218 5TH STREETTELEPHONE:
(916) 645-1324
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:27CENSUS: 16DATE:
09/08/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Serena GreenTIME COMPLETED:
02:05 PM
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On September 8, 2023 an unannounced plan of correction inspection was conducted by Licensing Program Analyst (LPA) Lea Habtom. The purpose of today’s inspection is to follow up on the deficiency assessed on August 29, 2023 regarding ratio.

The census for today was 16 napping preschool children being supervised by the director. One staff arrived during the inspection. At the time of inspection, the director was in compliance with ratio therefore the deficiency has been cleared.

Exit interview was conducted with director Serena Green. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2023
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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