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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615376
Report Date: 11/16/2023
Date Signed: 11/16/2023 11:20:41 AM

Document Has Been Signed on 11/16/2023 11:20 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:WEE TYMES PLAYSCHOOLFACILITY NUMBER:
343615376
ADMINISTRATOR:INGALLS, DANELLEFACILITY TYPE:
850
ADDRESS:2925 ROOT AVENUETELEPHONE:
(916) 487-8411
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 3DATE:
11/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Brittney PaivaTIME COMPLETED:
11:35 AM
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On November 16, 2023, at approximately 11:00 AM, Licensing Program Analyst (LPA) Josiah Gathing met with Facility Representative Brittney Paiva for a Case Management inspection. The purpose of today's inspection was to obtain a signature related to a previous inspection.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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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