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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623068
Report Date: 08/20/2021
Date Signed: 08/20/2021 10:24:51 AM

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:KIDS INC PRESCHOOL & DISCOVERY CENTERFACILITY NUMBER:
343623068
ADMINISTRATOR:LEONARD, KIMFACILITY TYPE:
830
ADDRESS:1740 PRAIRIE CITY ROADTELEPHONE:
(916) 743-0857
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:51CENSUS: 15DATE:
08/20/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Alex GrayTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Kelly Ferrara conducted a case management inspection and met with Director Alex Gray. LPA observed there were currently 15 infant children in care with six teachers.

During today's inspection, LPA observed and inspected the 0-12 month old infant classroom. LPA spoke with staff regarding an Unusual Incident Report that was received by the Sacramento Regional Office for an incident that occurred on August 10th, 2021.

Based on the interviews conducted, LPA determined that there was no evidence that a Title 22 violation had occurred.

Exit interview conducted and a copy of this report was left with the Director. Notice of Site was posted.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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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