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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393622476
Report Date: 09/30/2024
Date Signed: 09/30/2024 01:42:01 PM

Document Has Been Signed on 09/30/2024 01:42 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CAPC - EMERALD POINTFACILITY NUMBER:
393622476
ADMINISTRATOR/
DIRECTOR:		DEMMON, CHRISTINAFACILITY TYPE:
850
ADDRESS:9537 KELLEY DRIVETELEPHONE:
(209) 851-3479
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 13DATE:
09/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Prany KasemTIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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On 09/30/24, Licensing Program Analyst (LPA)Elvira Sierra met with Center Director, Prany Kasem for he purpose of conducting an unannounced case management visit to follow up on an Unusual Incident Report that occurred on 09/26/24. Upon arrival LPA observed 12 children in the preschool classroom and 2 staff, and one child in the toddler classroom with one staff.

LPA interviewed staff, inspected the facility and observed the care and supervision of the children during today's visit.

No Title 22 deficiencies were observed or were cited on today’s date. Exit interview was conducted, and report was reviewed with facility representative, Prany Kasem. A Notice of Site Visit was posted and should remain posted for a period of 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2024
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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