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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340321756
Report Date: 06/09/2022
Date Signed: 06/09/2022 11:57:08 AM


Document Has Been Signed on 06/09/2022 11:57 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:PARKWAY PRESCHOOLFACILITY NUMBER:
340321756
ADMINISTRATOR:MORENO (WASSON), VICKYFACILITY TYPE:
850
ADDRESS:4720 FOREST PARKWAYTELEPHONE:
(916) 553-4210
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:48CENSUS: 4DATE:
06/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yolanda PadillaTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with facility representative, Yolanda Padilla, for a case management inspection. Purpose of the inspection was to investigate an incident and was informed to the facility representative.

The facility self reported that a child reported that the child was pushed by a staff member during hand washing. During today’s inspection, LPA interviewed the staff, who was present at the time of the incident. LPA also interviewed the children at the facility. During the interviews, no witness to the incident was found. During the interview with the child, child did not acknowledge of being pushed or any inappropriate behavior.

Based on the information collected, no violation of regulations was observed. Copy of this report was reviewed and provided to the facility representative. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2022
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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