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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623185
Report Date: 03/28/2023
Date Signed: 03/28/2023 09:26:04 AM

Document Has Been Signed on 03/28/2023 09:26 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SETA CP HUNTINGTON HEAD STARTFACILITY NUMBER:
343623185
ADMINISTRATOR:MATLOCK, SHANNONFACILITY TYPE:
850
ADDRESS:5917 26TH STREETTELEPHONE:
(916) 263-3800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 20DATE:
03/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Shannon MatlockTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:40am met with director Shannon Matlock for an unannounced Case Management Licensee Initiated inspection. Today’s inspection regarded adding Preschool Room 1 for use during a renovation of Preschool Room 2. Fire Clearance was granted on 3/2/2023. LPA observed that the classroom was in compliance with Title 22 regulations and the Health and Safety Code.

Effective today 3/28/202, approved for use of Preschool Room 1.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the director and provided copies. An exist interview was conducted. LPA observed the Notice of Site Visit posted and the director understands it must remain posted for 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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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