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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614437
Report Date: 11/03/2023
Date Signed: 11/03/2023 10:57:36 AM

Document Has Been Signed on 11/03/2023 10:57 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KOHLER PRESCHOOLFACILITY NUMBER:
343614437
ADMINISTRATOR:NICOLE SCHLIEFACILITY TYPE:
850
ADDRESS:4004 BRUCE WAYTELEPHONE:
(916) 566-1850
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 26DATE:
11/03/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Brittany GarrettTIME COMPLETED:
11:15 AM
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On 11/3/2023, Licensing Program Analysts (LPAs) Amanda Sutter and Kyrsteb Williams arrived at the facility for the purpose of an unannounced case management inspection. LPAs interviewed a staff for an incident unrelated to this facility. Upon arrival, LPAs observed 26 children supervised by 8 staff.

Based on the inspection, no citations have been issued. Exit interview conducted and report was reviewed with the Teacher Brittany Garrett.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2023
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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