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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340321500
Report Date: 02/07/2024
Date Signed: 02/07/2024 04:02:05 PM

Document Has Been Signed on 02/07/2024 04:02 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:DAVID REESE ELEMENTARYFACILITY NUMBER:
340321500
ADMINISTRATOR:PINKERTON, ELIZABETHFACILITY TYPE:
850
ADDRESS:7600 LINDALE DRIVETELEPHONE:
(916) 422-2450
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 18DATE:
02/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Sherlyn WarnerTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Mandie Goodwin met with facility representative Sherlyn Warner for an unannounced Case Management Inspection regarding an Unusual Incident Report.

Upon arrival, there were 18 children supervised by 3 staff members.

On 01/31/2024 it was reported that on the previous day, Child 1 ran out the classroom door towards to the parking lot.

During today’s inspection LPA spoke with Staff 1 who observed the incident. Interviews were consistent with what was documented on the unusual incident report, which is that 2 staff members followed Child 1 out the door and brought them back to class, while 2 additional staff members stayed in the classroom with the remaining children. Interviews stated that the staff members never lost visual contact of the child.

No Title 22 deficiencies occurred during the incident or were observed during today’s inspection. Exit interview conducted and report was reviewed with staff member Sherlyn Warner. LPA provided a Notice of Site Visit that shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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