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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 054500737
Report Date: 11/27/2023
Date Signed: 11/27/2023 11:41:51 AM

Document Has Been Signed on 11/27/2023 11:41 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:SARAH KELLY'S CHILD CARE & LEARNING CENTERFACILITY NUMBER:
054500737
ADMINISTRATOR:SAMANTHA ARTIAGAFACILITY TYPE:
830
ADDRESS:4423 SIX MILE ROADTELEPHONE:
(209) 263-2295
CITY:ANGELS CAMPSTATE: CAZIP CODE:
95222
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 18DATE:
11/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sarah KellyTIME COMPLETED:
10:30 AM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Licensee, Sarah Kelly for the purpose of a case management inspection. Licensee requests a decrease in capacity. Licensee is removing the toddler option program and requesting a change of capacity for 12 children ages 0-24 months only. The fire clearance (STD850) was granted and received on 11/16/2023. The program currently operates Monday through Friday from 6:30 a.m. to 6:00 p.m.

INDOOR ACTIVITY SPACE:
There are two infant classrooms. The crib area is located in the larger infant classroom. LPA observed five cribs separated by a four-foot-tall wall partition and seven nap mats. LPA remeasured the large infant classroom and second infant classroom. The total classrooms space contains a total of 449 square feet, which will accommodate Licensee’s requested for 12. There is 1 toilet and 2 sinks for the children. AS observed a changing table within arm's reach of a sink in both classrooms.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee, Sarah Kelly.

Effective today, 11/27/2023, LPA will approve the change of capacity for 12 infants.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2023
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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