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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603476
Report Date: 03/13/2024
Date Signed: 03/13/2024 11:22:40 AM

Document Has Been Signed on 03/13/2024 11:22 AM - 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 - NORTHVIEW HEAD STARTFACILITY NUMBER:
343603476
ADMINISTRATOR:STACY PHILLIPSFACILITY TYPE:
850
ADDRESS:2401 NORTHVIEW AVENUETELEPHONE:
(916) 563-5374
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 98TOTAL ENROLLED CHILDREN: 98CENSUS: 58DATE:
03/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Stacy PhillipsTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Stacy Phillips for an unannounced Case Management Inspection regarding an Unusual Incident Report.

LPA observed 58 children, supervised by 11 staff members.

It was reported that on that a child in care stated that a child touched their buttocks. When staff asked to confirm if the incident happened at home or at school, the child stated that it happened at home. A CPS report was filed. LPA interviewed the child during today’s inspection. LPA was unable to interview the staff member who the child made the allegation to. LPA determined that there is no evidence to support that there was lack of supervision or a violation of personal rights.

An exit interview was conducted and LPA reviewed this report with facility representative Stacy Phillips. A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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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