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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619958
Report Date: 08/29/2024
Date Signed: 08/29/2024 09:40:48 AM


Document Has Been Signed on 08/29/2024 09:40 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:PACIFIC CHILDREN'S CENTERFACILITY NUMBER:
343619958
ADMINISTRATOR:NANCY MCCOLLFACILITY TYPE:
830
ADDRESS:6560 MELROSE DRIVETELEPHONE:
(916) 566-2715
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY:25CENSUS: 15DATE:
08/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nancy MccollTIME COMPLETED:
10:00 AM
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On 08/29/2024 at approximately 9:00am, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat and LPA Tanya Washington met with Licensee Representative Nancy McColl for the purpose of an unannounced case management - licensee initiated inspection. The purpose of today's inspection was to re-measure the outdoor space that is being used for the toddler and the infant play yard as the facility installed a new separation fence to allot space to infants and toddlers separately.

CAB LPA measured both yards for a total of 3,277.64 square feet for the infant yard, which will accommodate the 9 infants that the facility is currently licensed for. LPA Manabat measured the Toddler yard as 5,291.68 square feet, which will accommodate the 16 toddlers that the facility is currently licensed for. LPAs observed new shade structures over both yards and newly installed artificial grass area under both play structures. Please see the report on 01/31/2024 for details about the play yards.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee Representative.
SUPERVISOR'S NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Arianna ManabatTELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:
DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/29/2024
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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