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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619123
Report Date: 03/14/2024
Date Signed: 03/14/2024 12:11:57 PM


Document Has Been Signed on 03/14/2024 12:11 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:ABDULLAH, CHARMAINEFACILITY NUMBER:
343619123
ADMINISTRATOR:ABDULLAH, CHARMAINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 739-1599
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY:14CENSUS: 11DATE:
03/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Charmaine AbdullahTIME COMPLETED:
12:25 PM
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On March 14, 2024 at 11:55 AM, Licensing Program Analyst (LPA) Tanya Washington met with Licensee Charmaine Abdullah for an unannounced plan of correction inspection regarding deficiency cited on March 8, 2024. During today's inspection LPA observed eleven children in care of Licensee and Staff #1.

Licensee submitted a plan of correction in writing stating that her plan is to bring some children with her when she leaves more than six preschool aged children with her assistant. Licensee stated she understands that when there is one assistant or herself with children, the facility falls under small license regulations.

Deficiency 102416.5(e)- is cleared today. Notice of site visit posted and appeal rights are provided.
SUPERVISOR'S NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024
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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