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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617887
Report Date: 02/23/2024
Date Signed: 02/23/2024 09:39:14 AM

Document Has Been Signed on 02/23/2024 09:39 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:LOPEZ, ALMAFACILITY NUMBER:
343617887
ADMINISTRATOR:LOPEZ, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 393-1847
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
02/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Alma LopezTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:30am for a Plan of Correction inspection regarding the deficiencies cited on LIC9099D dated 2/14/2024. LPA met with Alma Lopez. Also present was licensee’s assistant. Present at time of inspection there were six preschool children and three infants for a total of nine children.

Based upon today’s inspection, LPA’s observed that all deficiencies are cleared as of today.

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 licensee [or facility representative] Alma Lopez.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2024
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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