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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610264
Report Date: 07/28/2023
Date Signed: 07/28/2023 01:21:01 PM

Document Has Been Signed on 07/28/2023 01:21 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: 72DATE:
07/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Celeste DoranTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Jeremey McClain met with Facility Representative Celeste Doran for an unannounced Case Management Inspection.

LPA observed a census of 72 children supervised by seven staff.

On 07/19/2023, LPA received an Unusual Incident Report via email. It was reported that on 07/18/2023, a child was dropped off in an empty classroom by their father. The child was alone in the room until they were found by their teacher, Staff 1. The child did not suffer any injuries. During today’s inspection, LPA reviewed footage of the incident and interviewed staff. Footage showed that the child was alone in the room for approximately 11 minutes. Based on interviews it was conclusive that Staff 1 saw the child and their father in the hallway while she was on her way to break. Staff 1 instructed the father to take their child another classroom where the children were being supervised by another staff.

Based on evidence gathered, it was determining that the incident was not determined to be a violation of Title 22 regulations.

Exit interview was conducted. This report was reviewed with Facility Representative Celeste Doran. 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: 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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