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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313623785
Report Date: 02/27/2023
Date Signed: 02/27/2023 11:49:45 AM

Document Has Been Signed on 02/27/2023 11:49 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LILY PAD EARLY LEARNING CENTERFACILITY NUMBER:
313623785
ADMINISTRATOR:THATCHER, STACIFACILITY TYPE:
850
ADDRESS:3330 CHISOM TRAILTELEPHONE:
(530) 863-9443
CITY:LOOMISSTATE: CAZIP CODE:
95650
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 20DATE:
02/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Staci ThatcherTIME COMPLETED:
12:15 PM
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Licensing Program Analysts (LPAs), Amanda Blesi and Matthew Gallo arrived to the facility to conduct a case management inspection as a follow up on a citation issued 1/23/23 when one of the faucets in the facility tested above 5.5 ppb lead.

Since the last inspection, the facility has replaced the faucet and the vendor requires them to wait three weeks until they can test replacement faucet. LPAs observed the faucet is not in use and has a plastic bag taped over it. Site Supervisor Michelle stated she will submit the new test results to LPA after the new faucet is tested.

No deficiencies issued today.
Notice of site visit posted.
Exit interview conducted with director, Staci Thatcher.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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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