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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616951
Report Date: 10/23/2019
Date Signed: 10/23/2019 11:42:28 AM

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:ARISTA PRESCHOOL OF ELK GROVE, THEFACILITY NUMBER:
343616951
ADMINISTRATOR:JENNINGS, CRYSTALFACILITY TYPE:
850
ADDRESS:9441 ELK GROVE BLVDTELEPHONE:
(916) 686-4949
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:84CENSUS: 17DATE:
10/23/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director Corrin UresTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Amy Silva and Seychelle De Luca met with Director Corrin Ures to conduct an unannounced Case Management visit for the purpose of adding a school-age option to include 12 school-age children. Facility currently has a capacity of 84 preschool children. Community Care Licensing requested and received a fire clearance on 10/10/19 clearing the facility for 72 preschool children and 12 school-age children to equal a capacity of 84 children. Upon arrival, there were three staff and 17 children present.

LPAs toured the room to be used for school-age indoor activity space, including a separate bathroom that has a door for privacy. The school-age children will use the outdoor black top for outdoor activities. Director acknowledges that facility staff must follow the manufacturer guidelines and safety labels for all equipment and furniture.

Director and staff understand that the ratio is one teacher to every 12 children. Director acknowledges that preschool and school-age children may not engage in activities that are incompatible with their ages.

As of today 10/23/19, LPA Silva is granting the request to add the school-age option. A new license will be created and sent to the facility reflecting the changes. There shall be no more than 12 school-age children included in the current total capacity (84 children) at any one time.

A Notice of Site Visit was posted. An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy SilvaTELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019
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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