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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093621255
Report Date: 12/12/2024
Date Signed: 12/12/2024 11:22:31 AM

Document Has Been Signed on 12/12/2024 11:22 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:SUTTER'S MILL PRESCHOOLFACILITY NUMBER:
093621255
ADMINISTRATOR/
DIRECTOR:		VIEGAS, MARYFACILITY TYPE:
850
ADDRESS:4801 LUNEMAN ROADTELEPHONE:
(530) 295-2330
CITY:PLACERVILLESTATE: CAZIP CODE:
95667
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 9DATE:
12/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:April PresbaTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On December 12th, 2024, Licensing Program Analyst (LPA) Soleil Marx, met with Facility Representative, April Presba, for an unannounced case management inspection for the purpose of inspecting a newly manufactured play structure in the outdoor activity space.

LPA observed a census of nine preschool age children being supervised by two staff and one parent volunteer.

This facility has a shared space waiver for the outdoor activity space which is shared with the elementary school TK and Kindergarten. Facility has scheduled outdoor time for exclusive use of the outdoor activity space. There is a 5-12 play structure within the outdoor activity space which is off-limits to children by supervision.

LPA observed newly manufactured play structure in the prior approved outdoor activity space, which is fully enclosed by a fence that is at least four feet tall and has approved footage for the current capacity. LPA observed the play structure to be age appropriate for the preschool facility with a manufacturer label stating equipment is designed for ages 2-5.

LPA observed outdoor activity space to be free of hazards and in safe condition for children to utilize. LPA observed equipment and activity areas are arranged so that there is no hazard from conflicting activities. LPA observed shaded areas are available to children by awnings. LPA observed an adequate amount of wood chips as cushioning under climbing equipment to absorb a fall.

LPA has approved the new play structure for children to utilize effective immediately.

Exit interview conducted and report was reviewed with the Facility Representative, April Presba. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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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