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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343610154
Report Date: 02/28/2024
Date Signed: 02/28/2024 12:51:16 PM


Document Has Been Signed on 02/28/2024 12:51 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 - SHARON NEESE EARLY LEARNING CENTERFACILITY NUMBER:
343610154
ADMINISTRATOR:WHITEN, NIKKIFACILITY TYPE:
850
ADDRESS:925 DEL PASO BLVD. #300TELEPHONE:
(916) 263-5487
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:92CENSUS: 62DATE:
02/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Whiten, NikkiTIME COMPLETED:
01:15 PM
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On February 28th, 2024 at 9:00a.m., Licensing Program Analyst (LPA) Pa Dao Vang met with facility Director Nikki Whiten to follow up on the Unusual Incident Report submitted to the regional office on 2/16/2024 regarding an child's unexplained injury. Upon arrival, there's 63 children were present supervised by 20 staff members.

During today's investigation LPA conducted interviews, gather documentation, and made observations relating to the incident.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with Director Nikki Whiten.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024
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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