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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610264
Report Date: 06/22/2023
Date Signed: 06/22/2023 12:30:20 PM

Document Has Been Signed on 06/22/2023 12:30 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CADENCE EDUCATION LLC - THEONAFACILITY NUMBER:
313610264
ADMINISTRATOR:ALI EBERTFACILITY TYPE:
850
ADDRESS:2820 THEONA WAYTELEPHONE:
(916) 415-0780
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: 170TOTAL ENROLLED CHILDREN: 170CENSUS: 83DATE:
06/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Celeste DoranTIME COMPLETED:
12:45 PM
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On June 22nd, 2023, Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Celseste Doran for an unannounced Case Management Inspection regarding an Unusual Incident. 83 children were present today supervised by eight staff.

On June 16th, 2023, LPA received an Unusual Incident Report via email, reporting that on the same day, a child in care suffered an injury after tripping over a toy in the classroom. The child was later diagnosed with a fracture tibia and was placed in a cast. While in care, the child was attended to immediately by staff, and parents were contacted. During today’s inspection, LPA viewed footage of the incident, made observations of the area where the incident occurred, and gathered more information for further follow up. LPA determined that the incident did not result in any violations of Title 22 regulations.


This report was reviewed with the licensing representative. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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