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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343608842
Report Date: 12/17/2024
Date Signed: 12/17/2024 11:00:57 AM

Document Has Been Signed on 12/17/2024 11:00 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:SOMETHING EXTRA PRESCHOOL & CHILDCAREFACILITY NUMBER:
343608842
ADMINISTRATOR/
DIRECTOR:		THROCKMORTON, JAMIEFACILITY TYPE:
830
ADDRESS:7916 AZTEC DR.TELEPHONE:
(916) 348-0712
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 9DATE:
12/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Jamie ThrockmortonTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Loraine Perez met with Facility Representative, Jamie Throckmorton, for an unannounced case management inspection. The purpose of today's inspection was explained to Facility Representative. LPA observed a census nine infants, five infants are under 12 months of age, being supervised by three staff in one classroom. Facility Representative was reminded never to exceed the conditions, limitations and capacity specified on the license. All individuals subject to criminal record review have obtained clearance. Facility hours of operation are Monday through Friday, 06:30 AM to 06:00 PM.

On September 23rd, 2024 LPA conducted an unannounced annual inspection. There were three deficiencies cited during the inspection. Through the appeal process one of the deficiencies has been dismissed. LPA returned to obtain signatures for the amended report and deliver the report to the Facility Representative.

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility Representative Jamie Throckmorton.
Amanda BlesiTELEPHONE: (916) 263-5721
Loraine PerezTELEPHONE: (916) 263-5744
DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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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