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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622006
Report Date: 12/06/2022
Date Signed: 12/06/2022 11:33:00 AM

Document Has Been Signed on 12/06/2022 11:33 AM - 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:APPLE A DAY PRESCHOOL & INFANT CTR (PS)FACILITY NUMBER:
343622006
ADMINISTRATOR:FARFAN, LILIYAFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 13DATE:
12/06/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Michelle IngramTIME COMPLETED:
11:40 AM
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At 9:40 a.m. on Tuesday December 6th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Michelle Ingram, for the purpose of an unannounced POC inspection. Citations were issued on 10/19/2022 regarding outdoor activity space and fixtures, furniture, equipment and supplies. During today's inspection, LPA observed wood chip cushioning beneath play structure that was recently filled. LPA also observed chairs in the facility that had been recently washed. The citations have been corrected per POCs and are cleared.

Technical assistance was conducted regarding doorbell pick up/ drop off procedures relating to parent's rights.

In the areas that were evaluated, no deficiencies were cited during today's inspection. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for a period of 30 days.
Seychelle De Luca
Karyn Guerra
DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2022
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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