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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624906
Report Date: 09/06/2023
Date Signed: 09/06/2023 10:10:33 AM

Document Has Been Signed on 09/06/2023 10:10 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:LAND PARK MONTESSORI PRESCHOOLFACILITY NUMBER:
343624906
ADMINISTRATOR:JAYASENA, CHARUNIKAFACILITY TYPE:
850
ADDRESS:5700 S. LAND PARK DRIVETELEPHONE:
(916) 429-1234
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 34DATE:
09/06/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Charunika JayasenaTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:30am and met with Owner/Director Charunika Jayasena for an unannounced Case Management Licensee Initiated inspection. Today’s inspection regarded a capacity increase from 50 preschool children and a Toddler option of ten for a total of 60 children to 60 preschool children and a Toddler option of 15 for a total of 75 children. LPA measure two new rooms that will be used for the toddler classrooms. Fire clearance was granted on 8/22/2023.

INDOOR ACTIVITY SPACE:
Room #1 Indoor Activity Space ~ 255 square feet
Room #2 Indoor Activity Space ~ 272 square feet

527 divided by 35 square feet, and sufficient indoor activity space to support total of 15 children.

The following to be submitted prior to approval;
1) Proper furnishing of rooms
2) Rooms to be clean

LPA will return to inspect rooms for

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Owner/Director Charunika Jayasena.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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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