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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624906
Report Date: 10/04/2023
Date Signed: 10/04/2023 01:47:33 PM

Document Has Been Signed on 10/04/2023 01:47 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: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: 41DATE:
10/04/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Charunika JayasenaTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 1:15pm 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 50 preschool children and a Toddler option of 25 for a total of 75 children. LPA observed that all corrections have been made at time of inspection.

Effective today 10/4/2023, approved for 50 preschool children and a Toddler option of 25 for a total of 75 children.

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: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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