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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610264
Report Date: 08/24/2023
Date Signed: 08/24/2023 01:55:46 PM

Document Has Been Signed on 08/24/2023 01:55 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: 66DATE:
08/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:66TIME COMPLETED:
02:05 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 66 children supervised by seven staff.

On 08/09/2023, LPA received an Unusual Incident Report via email. It was reported that on 08/08/2023, a child fell on the playground while running with a hula hoop. The child was immediately attended to by staff. The facility was informed the next day that the child was diagnosed with a fractured foot. During today’s inspection, LPA reviewed footage of the incident and interviewed the child involved in the incident. LPA inspected the playground for potential hazards.

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: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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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