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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624293
Report Date: 05/22/2023
Date Signed: 05/22/2023 11:40:29 AM

Document Has Been Signed on 05/22/2023 11:40 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:MOHAMMADI, SHARIFAFACILITY NUMBER:
343624293
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Sharifa MohammadiTIME COMPLETED:
12:00 PM
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On May 22nd, 2023, Program Analyst (LPA) Arianna Manabat met with Licensee Sharifa Mohammadi to conduct a Change of Capacity inspection. The Licensee is requesting an increase from 8 to 14 children. Today's census did not include any children in care. The facility's hours of operation are: Monday - Friday 8:00am - 9:00pm.

Off-limit areas include: the entire upstairs, the garage, and the kitchen. The Licensee acknowledged that children may never enter these off-limit areas. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector. LPA observed the required Licensing postings on the wall and a current CPR/1st aid certification. LPA observed that hazardous items and chemicals were stored inaccessible to children in care. LPA did not observe any bodies of water or weapons the premises. LPA observed the home was clean, safe, sanitary, and in good repair with appropriate toys for the children. In the areas that were evaluated during today's inspection, the facility is in compliance.

Upon receipt of the approved fire clearance, the licensee has been APPROVED to operate as a Large Family Child Care Home with a maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license.

LPA reviewed the report with the Licensee and a copy was provided. Notice of Site was posted and must remain for 30 days.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2023
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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