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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306383
Report Date: 07/03/2024
Date Signed: 07/03/2024 02:01:33 PM

Document Has Been Signed on 07/03/2024 02:01 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:MARVIN MARSHALL CHILDREN'S CENTERFACILITY NUMBER:
340306383
ADMINISTRATOR/
DIRECTOR:		VONG,JACK,MANI, REYNOLDSFACILITY TYPE:
850
ADDRESS:5309 KENNETH AVENUETELEPHONE:
(916) 971-7380
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 209TOTAL ENROLLED CHILDREN: 209CENSUS: 0DATE:
07/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Kimberly McIntoshTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On July 3, 2024 Licensing Program Analyst Josiah Gathing met with Facility Representative Kimberly McIntosh for the addition of rooms 12 and 13 for toddlers 18-36 months. Toddler capacity of 32 is not being changed. Fire clearance was granted for both rooms on June 26, 2024.

Rooms 12 and 13 contain 1,705.5498 square feet. Rooms 10 and 11 were previously approved for toddler care with an area of 2015 square feet. The total toddler indoor area is 3720.5498. The outside toddler playground contains 5286 square feet, which is sufficient for 32 toddlers.

LPA observed four toilets and four sinks in rooms 12 and 13.

As of today, Rooms 12 and 13 are approved for toddler care. LPA reviewed this report with Facility Representative Kimberly McIntosh and provided a copy. Notice of site visit was also provided and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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