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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313621208
Report Date: 12/18/2019
Date Signed: 12/18/2019 01:46:49 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:SMART START AUBURNFACILITY NUMBER:
313621208
ADMINISTRATOR:BOOTH, SHANNAHFACILITY TYPE:
850
ADDRESS:1273 HIGH STREETTELEPHONE:
(916) 303-0851
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:75CENSUS: 44DATE:
12/18/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Shannah BoothTIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Christopher Bello and Mai Lor arrived at the facility for a Plan of Correction inspection regarding the deficiencies cited on LIC9099D dated 12/10/19. LPAs met with director Shannah Booth. Present at time of inspection were 44 children with five teachers

Based upon today’s inspection, LPAs’ observed the deficiency is cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the director and provided copies. An exist interview was conducted. LPA observed the Notice of Site Visit posted and the director understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher BelloTELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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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