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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623067
Report Date: 12/19/2024
Date Signed: 12/19/2024 01:24:24 PM

Document Has Been Signed on 12/19/2024 01:24 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:KIDS INC PRESCHOOL & DISCOVERY CENTERFACILITY NUMBER:
343623067
ADMINISTRATOR/
DIRECTOR:		AMANDA COFFMANFACILITY TYPE:
850
ADDRESS:1740 PRAIRIE CITY ROADTELEPHONE:
(916) 743-0857
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 71DATE:
12/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Amanda SamsonTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Amanda Samson (Director), to conduct an unannounced case management inspection to follow up on a self-reported incident. The purpose of this inspection was explained to Director.

On 12/10/2024, it was reported to Sacramento Regional Office that a child (Child1) disclosed that a staff (Staff1) yelled at and hit Child1, not causing injury to Child1.

During today's inspection, LPA toured the facility, reviewed facility records, and interviewed children and staff. LPA observed staff interact appropriately with children in care, viewed facility camera footage, and reviewed facility documents. LPA conducted interviews with three children and four staff. LPA obtained consistent statements from children and staff that Staff1 did not yell at or hit a child.

Based on today's inspection, no deficiency is cited. Exit interview was conducted and a copy of this report was given to the Facility Representative, Director Amanda Samson. A Notice of Site was provided and must remain posted for 30 days. Appeal rights were provided.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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