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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616543
Report Date: 09/22/2022
Date Signed: 09/22/2022 12:47:26 PM


Document Has Been Signed on 09/22/2022 12:47 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:SAN JUAN PRE-SCHOOLFACILITY NUMBER:
343616543
ADMINISTRATOR:LEWIS, JENNYFACILITY TYPE:
830
ADDRESS:7413 WISCONSIN DRIVETELEPHONE:
(916) 863-0337
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:12CENSUS: 4DATE:
09/22/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Savannah ButlerTIME COMPLETED:
01:00 PM
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At 12:00 p.m. on Thursday, September 22nd, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Staff, Savannah Butler, for the purpose of an unannounced, POC inspection. A citation was previously issued on Thursday, September 15th, 2022, regarding qualifications. During today's inspection, a census was conducted and 4 napping children were observed supervised by 1 staff. LPA reviewed transcripts and confirmed staff qualifications. The correction has been made per POC, and the citation is cleared.

No regulatory citations were issued during today's inspection. An exit interview was conducted, and a notice of site visit was provided. Notice of site visit shall remain posted for 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2022
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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