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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393617385
Report Date: 04/24/2023
Date Signed: 04/24/2023 10:42:59 AM


Document Has Been Signed on 04/24/2023 10:42 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833



FACILITY NAME:ACE TOTS PRESCHOOLFACILITY NUMBER:
393617385
ADMINISTRATOR:KHAN, NADIAFACILITY TYPE:
850
ADDRESS:7204 SHORELINE DRIVETELEPHONE:
(209) 330-1030
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:90CENSUS: 26DATE:
04/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Soni SinghTIME COMPLETED:
11:00 AM
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On April 24th, 2023, at 9:30 am, Licensing Program Analysts (LPAs), David Nguyen and Lauren Scott met with license, Soni Singh for an inspection of plan of correction. Purpose of the inspection was explained. During today's inspection, LPAs inspected the day care areas.

On March 23rd, 2023, the facility was cited a Type B deficiency due to an unqualified staff providing care to children alone. LPA interviewed the licensee and learned the staff is no longer employed at the facility as of April 4th, 2023. The deficiency that was cited on March 23rd, 2023 is cleared by today's field visit. A Proof of Correction letter was provided to S1.

In the areas that were evaluated, no deficiencies were cited. An exit interview was conducted, and the report was reviewed, with Licensee. Licensee Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David NguyenTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023
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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