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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573615400
Report Date: 08/16/2019
Date Signed: 08/16/2019 02:20:09 PM

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:YOLO COUNTY OFFICE OF EDUCATION ALYCE NORMAN SITEFACILITY NUMBER:
573615400
ADMINISTRATOR:JACQUELINE TAMFACILITY TYPE:
850
ADDRESS:1200 ANNA STREETTELEPHONE:
(916) 375-7650
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95605
CAPACITY:144CENSUS: 0DATE:
08/16/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Kathleen GlassmanTIME COMPLETED:
02:30 PM
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On 08/15/19, LPA Christopher Jackson met with Site Coordinator Jacqueline Tam and Program Administrator Genet Telahun for the purpose of adding Rooms #11 and #12 to the licensed areas of the program. LPA Jackson and LPM Ogbodo conducted a heath and safety inspection of the two classrooms. LPA observed child sized furnishings in the classrooms. During the inspection LPA toured the outside play yard located to the rear of the classrooms. LPA observed a walkway in the back play yard that is not properly fenced. LPA will approve the use of rooms #11 and #12. The back play yard is not to be utilized by the children in care. Site Coordinator Jacqueline Tam stated the children will be transitioned to the main play yard located to the front of the campus. LPA discussed 100% supervision when transitioning the children to the front play area.

Effective today, 08/16/19, LPAs are granting the use of rooms #11 and #12. An exit interview was conducted in which the report was reviewed and discussed with Kathleen Glassman.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
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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