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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340321700
Report Date: 08/19/2025
Date Signed: 08/19/2025 01:31:43 PM

Document Has Been Signed on 08/19/2025 01:31 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:SETA - FRUITRIDGE COMMUNITY CENTER HEAD STARTFACILITY NUMBER:
340321700
ADMINISTRATOR/
DIRECTOR:		CARMEN SALCEDOFACILITY TYPE:
850
ADDRESS:5746 40TH STREETTELEPHONE:
(916) 563-5020
CITY:SACRAMENTOSTATE: CAZIP CODE:
95824
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 16DATE:
08/19/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Carmen Salcedo & Betsy UdaTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with facility representative, Carmen Salcedo and Betsy Uda, for a case management inspection. The facility has submitted an application to the Department to add the Toddler option to the program. Currently, the facility is licensed for 40 preschool age children. The facility requested to have 22 Toddlers (18 months to 36 months old) and 22 Preschool (three to five years old) children, with total maximum of 44 children.

During today’s inspection, LPA inspected the classrooms, Restrooms and Play yards. LPA observed the facility has designated the room in front of entrance to the Toddler program and the classroom on left side to the Preschool age children. LPA observed each classroom has smoke alarms, pull alarms, fire extinguishers. There is a carbon monoxide detector and working phone available on site. The facility has age appropriate furniture in both classroom and furniture is in good repair. Each classroom has one sink and three sinks in the middle section of both classrooms. There are four toilet seats in the middle section of both classrooms, which will be used by children from both classrooms.

During inspection, LPA measured the classrooms. LPA found that the toddlers classroom has 734.24 square feet, which met the regulations for 20 children, and Preschool classroom is 775.09 square feet, which met the regulations for 22 children. LPA observed the facility has separate designated play yard for Toddlers and preschoolers. During the measurements, LPA found that the toddlers play yard has 3129 square feet and Preschool has 8137 square feet of space for children. LPA observed both play yards have age appropriate toys and play structures. Play structure in preschool play yard has wood chips underneath to prevent any fall injury. Per facility representative, the facility will bring the drinking water along with them as children will be using the play yards. See next page for continuation .......................
NAME OF LICENSING PROGRAM MANAGER: Jeevun Birk-Miller
NAME OF LICENSING PROGRAM ANALYST: Gagandeep Singh
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SETA - FRUITRIDGE COMMUNITY CENTER HEAD START
FACILITY NUMBER: 340321700
VISIT DATE: 08/19/2025
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Continuation from previous page ...........

During today’s inspection, LPA did not observe any hazard at the facility. The fire inspection was conducted by local fire department on August 14, 2025 and clearance was granted.

Prior to issue the license:

- Facility submit an updated application with request of 22 Preschool age children and 20 Toddlers.

- Submit the waiver request to use same restroom for Toddlers and Preschool age children.

- Copy of updated admission agreement.

- Copy of updated Parent Handbook.

- Licensing Program Manager's final review.

Copy of this report was reviewed and provided to the facility representative. Notice of site visit is posted and shall remain posted for next 30 days.

NAME OF LICENSING PROGRAM MANAGER: Jeevun Birk-Miller
NAME OF LICENSING PROGRAM ANALYST: Gagandeep Singh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
LIC809 (FAS) - (06/04)
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