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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340311282
Report Date: 05/03/2024
Date Signed: 05/03/2024 01:36:38 PM

Document Has Been Signed on 05/03/2024 01:36 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:HANSEN'S EARLY LEARNING CENTERFACILITY NUMBER:
340311282
ADMINISTRATOR/
DIRECTOR:		HANSEN, RHONDAFACILITY TYPE:
850
ADDRESS:5275 TEGAN ROADTELEPHONE:
(916) 684-1600
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 22DATE:
05/03/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Rhonda HansenTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 05/03/2024, Licensing Program Analyst Katy Velazquez (LPA) conducted a field visit to the facility for the purpose of a Case Management inspection. LPA arrived at the center and was met by Director Owner Rhonda Hansen Hensly (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA conducted a tour of the facility and observed 22 preschool children being supervised by 3 staff members. LPA determined, through accessing Guardian, that 1 staff member, who was providing care and supervision of children, did not have background clearance. This posed an immediate risk to the health and safety of children in care. As a result, a Type-A deficiency was cited on a subsequent 809-D page and a Civil Penalty was assessed.
D1 understands that all parents or authorized representatives of currently enrolled children must sign the LIC 9224 form and be available to the Department for review. D1 understands that parents or authorized representatives of children enrolling for up to one year must sign the LIC 9224 form and be available to the Department for review. D1 acknowledged that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809-D with Type A deficiencies for 30 days.
An exit interview was conducted, and the report was reviewed with Owner Hansen Hensly. LPA provided Licensee Appeal Rights to D1. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2024
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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Document Has Been Signed on 05/03/2024 01:36 PM - It Cannot Be Edited


Created By: Katy Velazquez On 05/03/2024 at 01:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HANSEN'S EARLY LEARNING CENTER
FACILITY NUMBER: 340311282

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2024
Section Cited
CCR
101216(i)(1)

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(i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:
(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or...

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Licensee Rhonda Hanson Hensly will have the staff member obtain a Livescan on 05/03/2024 and will email LPA the receipt of Livescan. The staff member will not return to employent until Licensee esures the staff member is cleared and associated to the license.
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This requirement was not met as evidenced by LPA observing staff member, Antoinette Edwards, providing care and supervision to children on 05/03/2024 without background clearance.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karyn Guerra
LICENSING EVALUATOR NAME:Katy Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2024


LIC809 (FAS) - (06/04)
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