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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625657
Report Date: 08/06/2024
Date Signed: 08/06/2024 08:22:41 AM

Document Has Been Signed on 08/06/2024 08:22 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:DESTINY CHRISTIAN ACADEMY EARLY EDUCATION CENTERFACILITY NUMBER:
343625657
ADMINISTRATOR/
DIRECTOR:
LYTLE, LISAFACILITY TYPE:
860
ADDRESS:3401 MAYHEW ROADTELEPHONE:
(916) 767-5086
CITY:SACRAMENTOSTATE: CAZIP CODE:
95827
CAPACITY: 124TOTAL ENROLLED CHILDREN: 124CENSUS: 0DATE:
08/06/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:45 AM
MET WITH:Lisa LytleTIME VISIT/
INSPECTION COMPLETED:
08:40 AM
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On 8/06/2023 at approximately 7:45am, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat met with Licensee Representative Lisa Lytle for the purpose of an unannounced change of capacity case management inspection. The Licensee requests a total of 40 infants ages 0-24 months and 196 preschool children ages two years to entry into kindergarten during the hours of Monday through Friday from 7:15am - 5:15pm (infants), and 7:00am - 5:30pm (preschool component).

INDOOR ACTIVITY SPACE:
During today's visit, LPA Manabat observed classrooms 1, 4, 11, 12, and 13. LPA observed a sufficient amount of equipment, toys, tables, chairs, nap mats, and cubbies. CAB LPA measured the indoor space and found that the preschool rooms now measured for a total of 17,476.60 square feet, which will accommodate Licensee’s request for 196 preschoolers.

OUTDOOR ACTIVITY SPACE:
There are three outdoor areas on the property, two for the preschool component and one for the infant component. Each outdoor play area is fenced with a chain linked fence that is at least four feet tall. Measurements were taken for the outdoor space footage. The outdoor play areas for the preschool contain a combined total of 15,038 square feet, which will accommodate the applicant's request for 196 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Licensee Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Report continues on LIC809-C....
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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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: DESTINY CHRISTIAN ACADEMY EARLY EDUCATION CENTER
FACILITY NUMBER: 343625657
VISIT DATE: 08/06/2024
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A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Prior to issuing a license, the following conditions must be submitted:

1. Pending Licensing Program Manager's final review.

Exit interview conducted and report was reviewed with the Licensee Representative.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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