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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621225
Report Date: 05/14/2024
Date Signed: 05/14/2024 02:31:50 PM

Document Has Been Signed on 05/14/2024 02:31 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:OAK PARK PRESCHOOL INC. IIFACILITY NUMBER:
343621225
ADMINISTRATOR/
DIRECTOR:		HORNE, MARLAFACILITY TYPE:
850
ADDRESS:4036 14TH AVENUETELEPHONE:
(916) 573-3553
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 30TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
05/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:06 PM
MET WITH:Marla HorneTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On Tuesday, May 14, 2024 at 2:06 PM, Licensing Program Analysts (LPAs) Tanya Washington and Lea Habtom met with Facility Representative (FR) Marla Horne for an unannounced plan of correction inspection regarding deficiency cited on April 3, 2024 for missing or incomplete children's records. Upon arrival, LPAs observed Staff #1 providing care and supervision to six preschool aged children. FR was on the premises of the facility and assisted LPAs with file reviews.

Upon request, FR provided files for children who were present in care today. LPAs reviewed six children's files which all had required licensing forms and other required information. Deficiency cited on April 3, 2024 is cleared as of today. LPAs provided letter of correction to FR Horne.

No Title 22 Regulations are observed during today. Notice of site visit posted.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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