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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340305706
Report Date: 07/29/2021
Date Signed: 07/29/2021 01:44:11 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:FOREVER YOUNG INFANT CARE CENTERFACILITY NUMBER:
340305706
ADMINISTRATOR:TYSON, SELINAFACILITY TYPE:
830
ADDRESS:1209 P STREET #12TELEPHONE:
(916) 446-4246
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY:20CENSUS: DATE:
07/29/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Selina TysonTIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Managers (LPM) Seychelle De Luca and Licensing Program Analyst (LPA) Alize Tillery met with Director Selina Tyson for an informal meeting. LPM De Luca defined the difference between a non-compliance conference and an informal meeting. LPM advised that the purpose of today's meeting is to help Licensee gain compliance. Today's informal meeting is to discuss the recent citation from 05/07/2021, regarding a child left alone and unattended in the outdoor play area for two to four minutes before staff were informed by their neighbor. The incident was reported by Director.

Director has taken the following steps to maintain compliance:
- Director implemented a procedure to count the children whenever they go outside and when they come
back inside.
- Director hired another staff member to assist with supervision.


During today's meeting, LPM provided the Self Assessment Evaluation and also suggested that licensee review the Department's website www.ccld.ca.gov for updated regulations and important information regarding licensing. LPM suggested that Licensee view informational videos at www.ccld.childcarevideos.org.

In lieu of Director’s signature, LPA Tillery will email this report and Director will respond via email as verification of receipt.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021
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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