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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622842
Report Date: 10/09/2024
Date Signed: 10/09/2024 02:23:22 PM

Document Has Been Signed on 10/09/2024 02:23 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:CHANTLAND, TROYFACILITY NUMBER:
343622842
ADMINISTRATOR/
DIRECTOR:		CHANTLAND, TROYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 989-6880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95826
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
10/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Troy ChantlandTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On October 9, 2024 at approximately 1:45 PM, Licensing Program Analyst (LPA) Josiah Gathing met with Licensee Troy Chantland for the purpose of a Licensee initiated case management inspection to approve the classroom extension area beyond the dining room for child care. During today's inspection there were eight children supervised by the Licensee and an assistant. All persons subject to criminal record review have been cleared. Upon inspection the classroom extension was free of visible hazards and equipped with furniture, toys, and books suitable for children.

As of today, the classroom extension is approved for child care. LPA reviewed and provided a printed copy of this report to Licensee. No deficiencies were cited during today's inspection. A Notice of Site Visit form was printed and shall remain posted in the facility for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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