<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616406
Report Date: 09/19/2023
Date Signed: 09/19/2023 11:55:21 AM


Document Has Been Signed on 09/19/2023 11:55 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:ST. PATRICK SUCCEED ACADEMY PRESCHOOLFACILITY NUMBER:
343616406
ADMINISTRATOR:FIFFICK, JULIAFACILITY TYPE:
850
ADDRESS:5945 FRANKLIN BLVDTELEPHONE:
(916) 421-4963
CITY:SACRAMENTOSTATE: CAZIP CODE:
95824
CAPACITY:54CENSUS: 27DATE:
09/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Julie FiffickTIME COMPLETED:
12:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On September 19, 2023, Licensing Program Analyst (LPA) Amanda Sutter met with Director Julie Fiffick for a case management inspection to discuss the unusual incident report (UIR) that was reported and submitted on August 30, 2023. Upon arrival, LPA observed 27 children supervised by 3 staff.

LPA conduct an interview and observed the classroom space.

No deficiencies were cited in today’s visit Exit interview was conducted with Director Julie Fiffick and notice of site visit was posted.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda SutterTELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1