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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624125
Report Date: 05/04/2022
Date Signed: 05/04/2022 11:08:07 AM

Document Has Been Signed on 05/04/2022 11:08 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:L'ACADEMY LANGUAGE IMMERSION PRESCHOOLFACILITY NUMBER:
343624125
ADMINISTRATOR:ALAMURU, PADMAFACILITY TYPE:
830
ADDRESS:1625 22ND STREETTELEPHONE:
(408) 916-7536
CITY:SACRAMENTOSTATE: CAZIP CODE:
95816
CAPACITY: 16TOTAL ENROLLED CHILDREN: 15CENSUS: 0DATE:
05/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Zhen Zhen LiTIME COMPLETED:
11:15 AM
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On 05/04/2022, Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Alize Tillery conducted an announced pre-licensing follow-up case management inspection at the above facility. AS and LPA met with Applicant Zhen Zhen Li and conducted a tour of the interior and exterior of the facility. Also present during this inspection were two staff. Prior to this inspection, AS received revised LIC 200A indicating that the facility will be serving infants ages 12-24 months, infant napping area waiver request to eliminate the infant napping area, insufficient outdoor waiver request, revised parent handbook, revised admission agreement, and revised fire clearance.

The two classrooms were re-measured without the napping area. The total classroom space contained a total of 552.8565 square feet, which will accommodate 15 infants.

During this inspection, AS and LPA observed the following:

1. Sufficient amount of age-appropriate toys and equipment for outdoor use


2. All cabinets underneath the sinks have been cleaned
3. Outdoor canopies were installed
4. A green plastic net was laid over the wrought iron gate to enclose the fence gap
5. Cribs were removed and additional cots were observed

No deficiencies observed during this inspection.

Effective May 04, 2022, AS will approve the facility for a capacity of 15 infant children, licensed to serve children ages 12-24 months.

Exit interview conducted and report was reviewed with Applicant, Zhen Zhen Li.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2022
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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