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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313622875
Report Date: 03/18/2022
Date Signed: 03/18/2022 10:21:47 AM


Document Has Been Signed on 03/18/2022 10:21 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:PLAY CARE LEARNING CENTER (INF)FACILITY NUMBER:
313622875
ADMINISTRATOR:HIGGINS, BRANDIFACILITY TYPE:
830
ADDRESS:4080 BASELINE ROADTELEPHONE:
(916) 746-9960
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:36CENSUS: 23DATE:
03/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Bonnie Asadi Lee - OwnerTIME COMPLETED:
10:30 AM
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An unannounced case management inspection was conducted today by Licensing Program Analyst Owens and Habtom. The purpose of the inspection is to observe the operation of the facility. A tour of the infants classrooms were conducted and a census of children were taken.

No deficiencies were observed.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina OwensTELEPHONE: 916-263-6280
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2022
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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