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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623908
Report Date: 08/05/2021
Date Signed: 08/05/2021 09:06:39 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:LIVING WATER PRESCHOOL ACADEMYFACILITY NUMBER:
343623908
ADMINISTRATOR:AWABDEH, MANARFACILITY TYPE:
850
ADDRESS:2810 EASTERN AVENUETELEPHONE:
(916) 548-9756
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:24CENSUS: DATE:
08/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Manar AwabdehTIME COMPLETED:
09:15 AM
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Application Specialist (AS) Mai Lor conducted an announced case management inspection to follow up on the previous required corrections from date 7/30/21. AS met with Applicant Manar Awabdeh and conducted a tour of the areas that needed corrections. Present during this inspection was Applicant's husband Raed Awabdeh. AS observed the following:

1. Fence panel in the enclosed playground was fixed and nails removed from the fence boards
2. Canopy structure was completed and fixed in place
3. Sand box was covered and inaccessible to children.
4. Chained link fence was nailed down to prevent any gaps between the ground and the fence.
5. The asphalt around the garden beds were filled with substrates to prevent any tripping hazards.
6. The pile of compost in the back of the play yard was made inaccessible to children in care by completely fencing off the area with orange plastic mesh safety fencing.

AS conferred with Licensing Program Manager Seychelle De Luca regarding license approval.

Effective today, 8/5/2021, AS will approve the facility for a capacity of 24 preschool children licensed to serve children age two to entry into first grade.

Exit interview conducted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
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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