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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610265
Report Date: 02/26/2024
Date Signed: 02/26/2024 10:33:28 AM

Document Has Been Signed on 02/26/2024 10:33 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:CADENCE EDUCATION LLC - THEONAFACILITY NUMBER:
313610265
ADMINISTRATOR:ALI EBERTFACILITY TYPE:
830
ADDRESS:2820 THEONA WAYTELEPHONE:
(916) 415-0780
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 21DATE:
02/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ali EbertTIME COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Ali Ebert for an unannounced Case Management Inspection regarding an Unusual Incident Report.

LPA observed seven infants supervised by two teachers; and 14 infants supervised by four staff.

It was reported that on 02/13/2024 a child fell off a play structure in the classroom. The child was attended to immediately. Initially the child had not suffered an immediate injury, but their parent reported during drop off the next day that child was taken to urgent care and diagnosed with a fractured wrist and given a cast.

During today’s inspection LPA observed the structure and the area where the incident occurred. LPA reviewed footage of the incident as well. LPA discussed a plan for using the structure moving forward. The structured is age appropriate and is not hazardous itself, but LPA informed director that there should be significant cushion around and or underneath it.

LPA determined that the incident was not due to lack of supervision, or the child being exposed to hazardous conditions.

LPA reviewed this report and conducted interview with facility representative Ali Ebert. LPA provided a Notice of Site Visit that should remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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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