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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620781
Report Date: 12/18/2023
Date Signed: 12/19/2023 07:49:48 AM


Document Has Been Signed on 12/19/2023 07:49 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:DON AVENUE EARLY CARE & LEARNING CENTERFACILITY NUMBER:
393620781
ADMINISTRATOR:RENA ALMAGUERFACILITY TYPE:
850
ADDRESS:8121 DON AVENUETELEPHONE:
(209) 956-5201
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:109CENSUS: 42DATE:
12/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Seta YorTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Corina Beckby met with Center Director, Seta Yor, to follow up on the Unusual Incident Reports (UIR) submitted to Community Care Licensing on 10/5/23. LPA observed 42 children being supervised by 4 Teachers and 2 assistants.

LPA toured the inside and outside of the facility, observed the care and supervision of children, reviewed records, reviewed roster, and conducted interviews.

Facility evaluation report was reviewed and discussed with Center Director. Exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today's inspection.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Corina BeckbyTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2023
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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