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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624837
Report Date: 04/03/2025
Date Signed: 04/23/2025 04:42:02 PM

Document Has Been Signed on 04/23/2025 04:42 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:BAE'S EDUCATION CENTERFACILITY NUMBER:
343624837
ADMINISTRATOR/
DIRECTOR:		BRIANA ESQUIVELFACILITY TYPE:
860
ADDRESS:10265 ROCKINGHAM DRIVE #150TELEPHONE:
(916) 228-4897
CITY:SACRAMENTOSTATE: CAZIP CODE:
95827
CAPACITY: 123TOTAL ENROLLED CHILDREN: 123CENSUS: 33DATE:
04/03/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Megan HeringerTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 4/3/2025, Licensing Program Analysts (LPAs) Amanda Sutter and Mandie Goodwin met with Principal Megan Heringer for a case management inspection. Upon arrival, LPAs observed 3 staff supervising 17 preschool children, and 2 staff supervising 5 infant children. LPAs later observed 11 school age children supervised by 1 staff.

On 3/20/2025, LPA Sutter was provided a Personnel Report (LIC500). LPA observed that two employees listed are under 18 years old. Employee 1’s (E1) hours are listed as Monday through Friday, 2 PM to 6 PM. Employee 2’s (E2) hours are listed as Monday through Friday, 2 to 2. LPA spoke with E2 to clarify hours and learned that E2’s hours are Tuesday and Thursday, 9 AM to 12 PM, and Monday, Wednesday, Friday from 2:30 PM to 6 PM. Based on hours provided, E1 works 20 hours per week and E2 works 16.5 hours per week. In previous interviews, E2 stated that they help in the kitchen with snacks and dishes, assist with homework, park busses, and take out trash. E1 stated that they are Licensee Representative’s assistant, prepare snack, and clean the facility. LPA asked if E2 was a part of a work program and they stated they were not. E2 is listed on the LIC500 as “floater”, and E1 also stated their title is floater.






PAGE 1. CONTINUED ON LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca
NAME OF LICENSING PROGRAM ANALYST: Amanda Sutter
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BAE'S EDUCATION CENTER
FACILITY NUMBER: 343624837
VISIT DATE: 04/03/2025
NARRATIVE
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On 2/18/2025, LPA observed a completed fire drill log. Fire drills are documented to have occurred 5/31/2024, 6/28/2024, 7/31/2024, 8/30/2024, 9/25/2024, 12/18/2024, and 1/29/2025. During the fire drill on 1/29/2025, documentation states that 15 school agers, 16 preschoolers, and 5 infants were present. During the course of a recent complaint investigation, LPA learned that the facility has not conducted a fire drill.

Based on the inspection, two Title 22 Deficiency has been issued on the attached LIC 809-D. Principal was informed that this report dated 4/3/2025 documents one Type B citation and one Type A citation. The Type A citation shall be posted for 30 consecutive days. The Principal shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Licensee has been provided with appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Principal Megan Heringer.
NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca
NAME OF LICENSING PROGRAM ANALYST: Amanda Sutter
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 04/23/2025 04:42 PM - It Cannot Be Edited


Created By: Amanda Sutter On 04/03/2025 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BAE'S EDUCATION CENTER
FACILITY NUMBER: 343624837

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
04/25/2025
Section Cited
CCR
101170(b)(2)(B)

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101170 Criminal Record Clearance (b)(2)(B) The volunteer spends no more than 16 hours per week at the facility.



This regulation was not met as evidenced by:
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Facility will wither submit new LIC500 modifying Volunteer's hours, or Volunteers will enroll in accredited work programs.
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Based on interview and record review, LPA learned that Volunteers work more than 16 hours per week, which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Seychelle De Luca
NAME OF LICENSING PROGRAM MANAGER:
Amanda Sutter
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 04/23/2025 04:42 PM - It Cannot Be Edited


Created By: Amanda Sutter On 04/03/2025 at 03:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BAE'S EDUCATION CENTER
FACILITY NUMBER: 343624837

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/18/2025
Section Cited
HSC
1596.885(c)

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Health and Safety Code Section 1596.885(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.
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All administrative staff will submit a document stating that they understand that paperwork will not be falsified. An in-office meeting with the Child Care Licensing department will be scheduled at a later date.
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This requirement was not met as evidenced by:
Based on interview and record review, LPA learned that the fire drill log was falsified, which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Seychelle De Luca
NAME OF LICENSING PROGRAM MANAGER:
Amanda Sutter
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2025


LIC809 (FAS) - (06/04)
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