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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623723
Report Date: 09/23/2021
Date Signed: 09/23/2021 01:08:38 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LEARNING JUNGLE LINCOLNFACILITY NUMBER:
343623723
ADMINISTRATOR:BUNTON, CYNTHIAFACILITY TYPE:
840
ADDRESS:7231 LINCOLN AVENUETELEPHONE:
(916) 944-8992
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:30CENSUS: 0DATE:
09/23/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cynthia BuntonTIME COMPLETED:
01:20 PM
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Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Alize met with Director Cynthia Bunton for the purpose of an announced capacity change case management inspection. Licensee requests to decrease the School Age capacity from 30 to 24 School Age children ages kindergarten and above. The facility's hours of operation are Monday through Friday from 6:30 AM to 6:00 PM. AS Lor received the fire clearance on 8/4/21.

AS spoke with Licensee Representative Michael Ong via telephone and he stated he does not want to move forward with a decrease in capacity and request to withdraw his application.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Cynthia Bunton, and via telephone with Applicant Michael Ong.

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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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