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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313624162
Report Date: 10/21/2024
Date Signed: 10/21/2024 01:14:11 PM

Document Has Been Signed on 10/21/2024 01:14 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:CHILDTIME LEARNING CENTERFACILITY NUMBER:
313624162
ADMINISTRATOR/
DIRECTOR:		PAMELA NASCAFACILITY TYPE:
840
ADDRESS:1622 SIERRA GARDENS DRIVETELEPHONE:
(916) 749-4325
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 0DATE:
10/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Pamela NascaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Pamela Nasca for an unannounced Case Management Inspection regarding an Unusual Incident Report.

No school age children were present during the inspection.

It was reported that on 10/15/2024, a child(C1) suffered a fractured foot after they dropped from the monkey bars on the playground. C1’s parents were contacted and C1 was diagnosed later in the evening when they went to the emergency room. During today’s inspection LPA conducted an interview with staff, observed the play area where the incident happened, and reviewed the original incident report. LPA observed the cushioning/bark to be sufficient under the monkey bars and did not observe the grip on the bars to be slippery or hazardous.

An exit interview was conducted, and the report was reviewed with facility representative Pamela Nasca. A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
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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