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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622221
Report Date: 06/27/2023
Date Signed: 06/27/2023 11:21:50 AM


Document Has Been Signed on 06/27/2023 11:21 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:SUNSHINE ACADEMYFACILITY NUMBER:
343622221
ADMINISTRATOR:JENNIFER MCCRAYFACILITY TYPE:
830
ADDRESS:2452 DEL PASO BOULEVARDTELEPHONE:
(916) 564-5606
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:14CENSUS: 9DATE:
06/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jennifer Boatman MccrayTIME COMPLETED:
11:35 AM
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On June 27, 2023 at approximately 10:15 AM Licensing Program Analyst Josiah Gathing met with Director Jennifer Boatman Mccray for the purpose of an unannounced Case Management investigation. The purpose of this inspection was to follow up on a self reported incident submitted to the Licensing program on May 24, 2023. During today's investigation LPAs conducted interviews, made observations, and collected documentation. The investigation did not result in any deficiencies cited.

A copy of this report was reviewed and provided to the Preschool Administrator. Appeal rights and a notice of site visit were provided.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:
DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/27/2023
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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