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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625612
Report Date: 03/28/2024
Date Signed: 03/28/2024 01:48:55 PM

Document Has Been Signed on 03/28/2024 01:48 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:GHEBRETINSAE, LULAFACILITY NUMBER:
343625612
ADMINISTRATOR:GHEBRETINSAE, LULAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 910-7832
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
03/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lula GhebretinsaeTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee, Lula Ghebretinsae, for a case management inspection. Licensee informed the LPA about installation of metal fence to the front yard. Purpose of today’s inspection to inspect the front yard for the safety of children.

During today’s inspection, LPA observed the licensee has installed a metal fence on the front yard. LPA observed the fence is secured to the ground and touches the fence on right side of the fence and to the house’s garage on the other side. The fence is 5feet and 5 inches tall from the ground. The fence has self latching door, which opens toward the house. The fence bars are close enough to each other that no child can pass through. LPA did not observe any other hazard in the front yard. Therefore, as of today, the fenced portion of the front is added to the day care license.

Copy of this report was reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
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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