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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306386
Report Date: 11/22/2019
Date Signed: 11/22/2019 10:29:55 AM

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:OAK PARK PRESCHOOLFACILITY NUMBER:
340306386
ADMINISTRATOR:WILLIAMS HOWELL, DIJANAEFACILITY TYPE:
850
ADDRESS:3500 2ND AVENUETELEPHONE:
(916) 451-9498
CITY:SACRAMENTOSTATE: CAZIP CODE:
95817
CAPACITY:34CENSUS: 16DATE:
11/22/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Pamela Morgan TIME COMPLETED:
10:32 AM
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Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced collateral inspection and met with Pamela Morgan, Director. The purpose of today's inspection was to conduct an interview with Staff (S1) in regards to a complaint #53-CC-20190909153500 unrelated to Oak Park Preschool.

At this time no citations were given and an exit interview was conducted.
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun BirkTELEPHONE: (916) 263-1414
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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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