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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343611566
Report Date: 06/27/2024
Date Signed: 06/27/2024 02:20:39 PM

Document Has Been Signed on 06/27/2024 02:20 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:WCIC-PLAYMATE CHILD DEVELOPMENT CENTER IIFACILITY NUMBER:
343611566
ADMINISTRATOR/
DIRECTOR:		DAVIS EDENAUSEGBOYEFACILITY TYPE:
850
ADDRESS:3555 3RD AVENUETELEPHONE:
(916) 457-8661
CITY:SACRAMENTOSTATE: CAZIP CODE:
95817
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
06/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Janet TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On Thursday June 27, 2024, Licensing Program Analyst (LPA) Stephanie Piring, met with Janet Wong-Acorda (Head Teacher) and Leticia Jaramillo (Program Coordinator), for the purpose of an unannounced Case Management visit. The purpose for the visit is to speak to the facility about past due fees, and updating the facility mailing address. During todays visit, there were no children present due to the facility being on summer break.

Facility Representatives stated they have had issues with the postal mail and did not receive the bill. Facility Representatives showed LPA the late fee notices they received in late May. Facility Representatives confirmed the mailing address on file was correct. LPA gave Facility Representatives an LIS print out of the current fees due for the facility. Facility Representative stated she would forward it to accounting and make sure that the fees are paid.

Based on todays visit, no title 22 regulations deficiencies are being cited. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility Representatives Janet Wong-Acorda and Leticia Jaramillo
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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