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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
340304992
Report Date:
09/13/2023
Date Signed:
09/13/2023 11:39:14 AM
Document Has Been Signed on
09/13/2023 11:39 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:
CENTENNIAL CHRISTIAN PRE-SCHOOL
FACILITY NUMBER:
340304992
ADMINISTRATOR:
TESSMAN, DENISE
FACILITY TYPE:
850
ADDRESS:
5401 FREEPORT BLVD.
TELEPHONE:
(916) 453-0976
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95822
CAPACITY:
35
TOTAL ENROLLED CHILDREN:
35
CENSUS:
DATE:
09/13/2023
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
11:20 AM
MET WITH:
Brieanne Otto
TIME COMPLETED:
11:50 AM
NARRATIVE
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 11:20am and met Director Brieanne Sanchez an unannounced Case Management Licensee Initiated inspection. Today’s inspection regarded inspecting a play structure for daycare use. LPA inspected the play structure and approved it for use.
No Title 22 Deficiencies
observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Director
Brieanne Sanchez
.
SUPERVISORS NAME
:
Amanda Blesi
LICENSING EVALUATOR NAME
:
Christopher Bello
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/13/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/13/2023
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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