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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615376
Report Date: 08/13/2021
Date Signed: 08/13/2021 01:10:23 PM

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:WEE TYMES PLAYSCHOOLFACILITY NUMBER:
343615376
ADMINISTRATOR:INGALLS, DANELLEFACILITY TYPE:
850
ADDRESS:2925 ROOT AVENUETELEPHONE:
(916) 487-8411
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:30CENSUS: 9DATE:
08/13/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Danelle IngallsTIME COMPLETED:
01:30 PM
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At 12:10 p.m. on Friday, August 13th, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Danelle Ingalls for the purpose of a case management inspection. A risk assessment for COVID-19 was conducted via telephone prior to entry into the facility. Upon arrival, LPA observed a census of 7 preschool children supervised by 2 staff, and 2 school aged children supervised by one staff.

Today's inspection was to follow up on an unusual incident. Incident was self reported to the department on July 27th, 2021. LPA inspected the outdoor play yard and observed adequate wood chip cushioning in the play structure and swing area. LPA reviewed files and obtained documents.

LPA provided a copy of form LIC9211 request for inactive status for infant license.

No deficiencies were cited during today's inspection. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for a period of 30 days for parental review.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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