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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617232
Report Date: 08/11/2021
Date Signed: 08/11/2021 10:22:42 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:TOWN AND COUNTRY PRESCHOOLFACILITY NUMBER:
343617232
ADMINISTRATOR:JESSICA TURNERFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 487-2036
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:22CENSUS: 2DATE:
08/11/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Roberta ManleyTIME COMPLETED:
10:40 AM
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On 08/11/2021 at 8:20am, Licensing Program Analyst (LPA) Jan Hoshida met with Director Roberta Manley for a Proof of Correction (POC) inspection to clear two Type A deficiencies that were cited on 08/04/2021.

Upon arrival, LPA observed two infants and six preschool and school-age children being supervised by one staff member in the outdoor play area. LPA observed that the staff member was a fully-qualified teacher with three toddler/infant units, therefore the Teacher Qualification citation was cleared today.

Director provided LPA with a written staff schedule as a plan to correct the deficiency to LPA during the inspection. LPA provided Director a copy of the plan of correction letter of deficiency citations cleared for the fully-qualified teacher Type A citation that was cited on 08/04/2021.

LPA observed that infant and preschool children were commingling, therefore the commingling citation will not be cleared today.

This facility evaluation report was reviewed and discussed with Director. Director stated that she understands today's inspection.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the Director and provided copies. An exit interview was conducted. LPA observed the Notice of Site Visit posted and the Director understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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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