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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093624710
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:03:22 PM

Document Has Been Signed on 01/14/2025 03:03 PM - 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SMART START PRESCHOOL CAMERON PARKFACILITY NUMBER:
093624710
ADMINISTRATOR/
DIRECTOR:		BOOTH, SHANNAHFACILITY TYPE:
850
ADDRESS:2558 GREENWOOD LANE SUITE ATELEPHONE:
(916) 303-0851
CITY:CAMERON PARKSTATE: CAZIP CODE:
95682
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 12DATE:
01/14/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Shannah BoothTIME VISIT/
INSPECTION COMPLETED:
09:00 AM
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Licensing Program Analyst (LPA) Erwina Pascual-Golamco met with Facility Representative, (FR) Shannah Booth, to conducted a Plan Of Correction inspection. Purpose of inspection was explained. There were 2 Type A deficiencies cited on 01/08/25.

1. 101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...shall include visual observation.

2. 101216.3 Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

During today's inspection, LPA observed the gate and alarm ordered by FR to be installed in the playground, and teacher to child ratio is followed. LPA observed 12 preschool children with 2 staff. LPA observed another staff member scheduled at 8:15AM.

As of today, 01/14/25, LPA observed that FR has corrected all Type A deficiencies. No deficiencies cited in today's inspection, exit interview was conducted, and Notice of Site visit was provided and shall be posted where visible to parents for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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