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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
343600858
Report Date:
12/09/2024
Date Signed:
12/09/2024 01:47:46 PM
Document Has Been Signed on
12/09/2024 01:47 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:
LA PETITE ACADEMY - FOLSOM
FACILITY NUMBER:
343600858
ADMINISTRATOR/
DIRECTOR:
PADILLA, CHRIS
FACILITY TYPE:
850
ADDRESS:
410 GLENN DRIVE
TELEPHONE:
(916) 983-6137
CITY:
FOLSOM
STATE:
CA
ZIP CODE:
95630
CAPACITY:
84
TOTAL ENROLLED CHILDREN:
84
CENSUS:
31
DATE:
12/09/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:
Chris Padilla
TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Jennifer Velasco conducted a case management and met with Director Chris Padilla (Director) to amend a licensing report. A notice of site visit was provided and must remain posted for 30 days for parental review.
SUPERVISORS NAME
:
Natalie Dunaway
LICENSING EVALUATOR NAME
:
Jennifer Velasco
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/09/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/09/2024
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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