<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623908
Report Date: 07/30/2021
Date Signed: 07/30/2021 09:55:46 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: 0DATE:
07/30/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Manar and Raed AwabdehTIME COMPLETED:
10:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Christopher Bello conducted an announced case management inspection and met with Applicant Manar Awabdeh and her husband Raed Awabdeh. During this inspection, AS Lor and LPA Bello inspected the outdoor play yard and observed the following items:

1. Fence panel in the enclosed playground needs to be fixed.
2. Canopy structure needs to be completed
3. Sand box needs to be covered
4. The pile of compost needs to be inaccessible to children
5. Nails on the fence boards need to be removed
6. Chained link fence needs to be stabilize
7. Asphalt around the garden beds needs to be leveled to prevent any tripping hazard

AS advised the applicant the above items must be corrected prior to licensure. Applicant is to notify AS when all items are fixed and ready for a follow-up inspection.

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

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1