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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617317
Report Date: 08/02/2021
Date Signed: 08/02/2021 12:57:19 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:CADENCE EDUCATION LLC - EL CAMINOFACILITY NUMBER:
343617317
ADMINISTRATOR:JONES, CYNTHIAFACILITY TYPE:
830
ADDRESS:5739 EL CAMINO AVENUETELEPHONE:
(916) 481-6144
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:28CENSUS: 21DATE:
08/02/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Cindy JonesTIME COMPLETED:
01:15 PM
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At 11:13 a.m. on Monday, August 2nd, 2021, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Cindy Jones, for a case management inspection. A COVID-19 risk assessment was conducted prior to entering the facility. At 11:15 a.m. Director guided LPA on a tour of the facility, and a census was taken which included 4 infants supervised by 1 staff, and 17 toddlers supervised by 5 staff. Census for the preschool facility was 45 children supervised by 5 staff.

Today's case management inspection was conducted to follow up on an incident that occurred at the facility on July 14th, 2021. Director self-reported the incident to the department on July 15th, 2021. LPA viewed video surveillance, gathered documents, and conducted interviews.

No deficiencies were cited during today's inspection. An exit interview was conducted. This report was reviewed with the Director and a notice of site visit was provided. Notice of site visit shall remain posted at the facility 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: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021
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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