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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623591
Report Date: 07/26/2023
Date Signed: 07/26/2023 01:55:44 PM

Document Has Been Signed on 07/26/2023 01:55 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:FOREVER FRIENDS EARLY LEARNING CENTERFACILITY NUMBER:
343623591
ADMINISTRATOR:ROSS, MARQUISEFACILITY TYPE:
830
ADDRESS:1355 FLORIN ROAD, SUITE 9 & 10TELEPHONE:
(916) 912-0758
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY: 9TOTAL ENROLLED CHILDREN: 9CENSUS: 6DATE:
07/26/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Krystal BarlattTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 12:45pm for a Plan of Correction inspection regarding the deficiencies cited on LIC809D dated 6/20/2023. LPA met with Owner Krystal Barlatt. Present at time of inspection there were six infants. LPA checked infant sleeping plans.

Based upon today’s inspection, LPA observed the deficiency was corrected and is cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Owner Krystal Barlatt.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
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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