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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500544
Report Date: 05/07/2024
Date Signed: 05/07/2024 10:57:37 AM

Document Has Been Signed on 05/07/2024 10:57 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:YOUNG EXPLORERSFACILITY NUMBER:
394500544
ADMINISTRATOR/
DIRECTOR:		UNNI, SAMINAFACILITY TYPE:
850
ADDRESS:1178 S. TRADITION STTELEPHONE:
(209) 207-9083
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 15DATE:
05/07/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:23 AM
MET WITH:Dawn Gaddini TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On May 7, 2024, Licensing Program Analyst (LPA) Stacey Williams met with Facility Representative, Dawn Gaddini for the purpose of conducting a plan of correction inspection. LPA observed (15) fifteen children supervised by two staff.

LPA toured the facility and reviewed staff files. Staff have the completed mandated reporter training with certificates which meets clearance requirements. The outdoor area was toured and there is still a need for bark/mulch to be replenished in areas under play equipment. The Licensee informed Community Care Licensing (CCL) that mulch will be installed by the end of the week- 5/10/24. An extension has been granted for this clearance.

Exit interview conducted and report was reviewed with the Facility Representative, Dawn Gaddini. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were provided.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE: DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2024
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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