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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343605276
Report Date: 06/06/2024
Date Signed: 06/06/2024 01:06:53 PM

Document Has Been Signed on 06/06/2024 01:06 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:BABCOCK STATE PRESCHOOLFACILITY NUMBER:
343605276
ADMINISTRATOR/
DIRECTOR:		PRISCILLA CONTRERASFACILITY TYPE:
850
ADDRESS:2400 CORMORANT WAYTELEPHONE:
(916) 566-3415
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 15DATE:
06/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Nicole SchlieTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On June 6, 2024 at 9:00 a.m., Licensing Program Analyst (LPA) Pa Dao Vang met with Facility Representative, Nicole Schlie for an unannounced case management inspection to follow up on an Unusual Incident Report submitted to the regional office on 5/22/2024.

Upon arrival, LPAs observed 15 preschool supervised by 3 staff. LPA Vang observed and learned about the construction around the school campus including the playground area for the preschool program. LPA also reviewed staff, conducted interviews, and observed the classroom routine.

There is a Technical Violation in accordance to the Title 22 Regulations on the LIC 9102 page. This report was reviewed with Facility Representative, Nicole Schlie. A copy of this report, appeal rights, and a notice of site visit was provided to be posted for 30 consecutive days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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