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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343609391
Report Date: 06/13/2024
Date Signed: 06/13/2024 04:28:19 PM


Document Has Been Signed on 06/13/2024 04:28 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:SETA - MARINA VISTA EARLY LEARNING CENTERFACILITY NUMBER:
343609391
ADMINISTRATOR:DANIELS, CHERIAFACILITY TYPE:
850
ADDRESS:263 SEAVEY CIR.TELEPHONE:
(916) 563-5120
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY:78CENSUS: 26DATE:
06/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lynda de La Mora & Carman Osorio RuizTIME COMPLETED:
05:00 PM
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On June 13, 2024 at 1:30 p.m., Licensing Program Analyst (LPA) Pa Dao Vang met with Lynda de La Mora (Program Officer) and Carman Osorio Ruiz (Site Supervisor), for an unannounced case management inspection to follow up on an Unusual Incident Report submitted to the regional office on 6/11/2024.

Upon arrival, LPA observed 26 preschool children supervised by 6 staff. LPA also conducted interviews and made observations of the classrooms. LPA learned C1 ran into C2 outside. C2 fell on the cement and got a 1/3rd of an inch cut on the left back side of the head. Parent was notified immediately and 911 was called. The paramedics attended to the injury. There are no additional medical attention needed. Throughout the course of the investigation, there are no violation pertaining to the incident.

This report was reviewed with Lynda de La Mora (Program Officer) and Carman Osorio Ruiz (Site Supervisor). A copy of this report, appeal rights, and a notice of site visit was provided to be posted for 30 consecutive days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024
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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