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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313616748
Report Date: 02/06/2025
Date Signed: 02/06/2025 08:35:05 AM

Document Has Been Signed on 02/06/2025 08:35 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BROADWAY, DREANNEFACILITY NUMBER:
313616748
ADMINISTRATOR/
DIRECTOR:		BROADWAY, DREANNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 216-5752
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
02/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Dreanne BroadwayTIME VISIT/
INSPECTION COMPLETED:
08:45 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Dreanne Broadway for the purpose of a Case Management inspection. The purpose of today’s inspection was to ensure compliance with AB 2866 additions to Health and Safety Code (HSC) 1596.814.

Nine children were observed during today’s inspection. Licensee’s assistants were present.

Today LPA observed the following:

1. A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.
2. A rescue pole with a body hook and minimum fixed length of 12 feet.
3. An ASTM International Standard F2208 pool alarm that sounds upon entrance into the pool. The alarm was tested for functionality during today’s inspection.
4. An mesh fence that meets the following requirements: (1) isolates the swimming pool from access to the home; (2) is a minimum height of 60 inches; (3) has a maximum vertical clearance of two inches from the ground to the bottom of the enclosure; (4) has no gaps that can allow the passage of a sphere with a diameter of 4 or more inches; (5) has no protrusions, cavities or other physical characteristics that could serve as handholds or footholds for a child to climb over; and (6) the access gate must swing away from the pool and be self-closing with a self-latching, key lockable device placed no lower than 60 inches above the ground.

Licensee is aware that she must conduct and document daily inspections for pool safety.

This report was reviewed with the licensing representative Dreanne Broadway and a Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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