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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623896
Report Date: 12/07/2023
Date Signed: 12/07/2023 11:15:42 AM

Document Has Been Signed on 12/07/2023 11:15 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:DISCOVERY TREE SCHOOL - CAPITAL CITYFACILITY NUMBER:
343623896
ADMINISTRATOR:KAPRIA HEBERTFACILITY TYPE:
850
ADDRESS:744 P STREETTELEPHONE:
(916) 965-3661
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 18DATE:
12/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rebecca FosterTIME COMPLETED:
11:30 AM
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On December 7th, 2023, Licensing Program Analyst (LPA) Pa Dao Vang met with Licensee Representative, Rebecca Foster, to conduct an unannounced Case Management Inspection regarding an Unusual Incident Reported. LPA observed 18 children supervised by 2 staff.

On December 1th, 2023 an Unusual Incident Report was received detailing an incident that occurred on the November 27th, 2023 regarding an incident between two children (C1 and C2) in the Pre-K classroom. Licensee Representative stated after lunch, a near by teacher saw C1 partially laying on top of C2 on their nap mats. C1 was poking C2's belly button. The nearby staff member attended to the incident immediately. The C2's mother was immediately notified about the incident the same day. A parent conference was also held to address the incident.

During the inspection LPAs conducted interviews and made observations of the area. LPA did not observed any blind spots of the classroom and where the nearby teacher was located. There was not found to be a lack of supervision.

No deficiencies were cited in today’s visit.

This report was reviewed with Licensee Representative, Rebecca Foster. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
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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