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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093623154
Report Date: 07/28/2023
Date Signed: 07/28/2023 10:07:38 AM

Document Has Been Signed on 07/28/2023 10:07 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:EWING, SALLY & DONALDFACILITY NUMBER:
093623154
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
07/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Sally and Donald Ewing TIME COMPLETED:
10:20 AM
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On July 28th, 2023, Licensing Program Analyst (LPA) Soleil Marx met with Licensee’s, Sally and Donald Ewing, for the purpose of conducting a plan of correction inspection. LPA observed a census of four children in care being supervised by the licensee’s.

Licensee’s were previously cited a Type A deficiency on July 13th, 2023 for noncompliance with Health and Safety Code section 1597.44: A small family day care home may provide care for more than six and up to eight children, without an additional adult attendant, if all of the following conditions are met:
(b) No more than two infants are cared for during any time when more than six children are cared for.

LPA Marx observed during today’s inspection that the licensee’s are in compliance with capacity requirements by having four children in care.

LPA will clear the deficiency under HSC 1597.44(b) that was cited on July 13th 2023.

Exit interview conducted, report reviewed with licensee’s, and 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: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2023
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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