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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390315760
Report Date: 11/22/2019
Date Signed: 11/22/2019 10:57:46 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:GREAT BEGINNINGS PRE-SCHOOLFACILITY NUMBER:
390315760
ADMINISTRATOR:RUIZ, RAE ANNFACILITY TYPE:
850
ADDRESS:330 E. ACACIA STREETTELEPHONE:
(209) 835-1321
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:50CENSUS: 21DATE:
11/22/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Jaime MoyerTIME COMPLETED:
11:15 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
Licensing Program Analyst (LPA) Stacey Williams arrived at the above facility for the purpose of conducting a plan of correction inspection . LPA met with Assistant Director, Jaime Moyer. LPA observed (21) twenty one children supervised by 3 staff.

Deficiencies were cited during the facility's annual inspection on October 18, 2019. LPA reviewed staff files during today's inspection. Staff files contained mandated reporter certificates and immunization records.

Exit interview was conducted. Plan of correction letter provided to Assistant Director. Notice of Site visit was posted and appeal rights provided to the Assistant Director.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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