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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500846
Report Date: 01/17/2025
Date Signed: 01/17/2025 12:36:25 PM

Document Has Been Signed on 01/17/2025 12:36 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KIDS PLACE 2 EXPLORE & LEARN LLCFACILITY NUMBER:
394500846
ADMINISTRATOR/
DIRECTOR:		DIAZ-BARAJAS, MARIA CARINAFACILITY TYPE:
850
ADDRESS:1525 WILBANKS LANETELEPHONE:
(209) 221-0469
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY: 40TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
01/17/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Maria Carina Diaz- Barajas TIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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On January 17, 2025, Licensing Program Analyst (LPA) Stacey Williams conducted a case management inspection. LPA met with Facility Representative, Maria Carina Barajas. LPA observed 9 children supervised by three staff. The purpose of today's inspection is to deliver an amended report .


Exit interview conducted at which time the report was reviewed with Facility Representative, Maria Carina Barajas. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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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