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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622221
Report Date: 07/21/2022
Date Signed: 07/21/2022 11:18:01 AM


Document Has Been Signed on 07/21/2022 11:18 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:SUNSHINE ACADEMYFACILITY NUMBER:
343622221
ADMINISTRATOR:MCCRAY, JENNIFERFACILITY TYPE:
830
ADDRESS:2452 DEL PASO BLVDTELEPHONE:
(916) 564-5606
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:14CENSUS: 4DATE:
07/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer McCrayTIME COMPLETED:
11:30 AM
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On 7/21/2022, Licensing Program Analysts (LPAs) Alize Tillery and Kelly Ferrara, arrived to the facility to conduct a plan of correction inspection. Upon arrival, LPAs observed 4 infant children, supervised by 3 staff.

During the inspection, LPAs observed a trash bin with a tight fitted lid. LPA will clear the citation cited on 6/23/22, for deficiency 101239(f)(1).

LPA reviewed the report with Director and provided a notice of site visit, which will remain posted for 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2022
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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