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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622265
Report Date: 12/04/2024
Date Signed: 12/04/2024 01:49:19 PM

Document Has Been Signed on 12/04/2024 01:49 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:CARBAJAL ATTAOUS, SARAFACILITY NUMBER:
343622265
ADMINISTRATOR/
DIRECTOR:
CARBAJAL ATTAOUS, SARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 390-9791
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/04/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Sara Carbajal AttaousTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Manager (LPM) Natalie Dunaway and Licensing Program Analyst (LPA) Jennifer Velasco met with Licensee Sara Carbajal Attaous for an Informal office visit.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help provider gain compliance.

Today's informal meeting was arranged by the Department to discuss the recent Type A citation.

On 11/5/24, a personal rights complaint was received alleging that the licensee hit a child. On 11/7/24, the allegation was substantiated that the licensee lightly tapped a child on the back of the hand, not causing injury. A Type A deficiency was cited and plan of correction was developed. The plan of correction is as follows:

1. Licensee has reviewed her curriculum to ensure that children experience minimal frustration during the introduction of new skills
2. Licensee encourages children to talk about their frustrations
3. Licensee will avoid physical contact with children when they are frustrated

LPA discussed follow-up documentation for file. LPA and LPM reviewed personal rights requirements. LPM discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org.

This report was reviewed with the Licensee
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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