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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313610268
Report Date: 05/30/2024
Date Signed: 05/30/2024 01:32:46 PM

Document Has Been Signed on 05/30/2024 01:32 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 - TREHOWELLFACILITY NUMBER:
313610268
ADMINISTRATOR/
DIRECTOR:
ANNA KEITHLERFACILITY TYPE:
850
ADDRESS:1071 TREHOWELL DRIVETELEPHONE:
(916) 782-1407
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 79DATE:
05/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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An unannounced case management inspection was conducted today by Licensing Program Analysts Owens and McClain. LPA's met with Director, Anna Keithler.
Present at time of inspection was 79 preschool children with 9 staff.

The purpose of the case management inspection is to address an unusual incident that occurred on January 29, 2024 that was self reported to Community Care Licensing by the facility. A child was left in a classroom alone, for approximately 20-30 seconds, during transition from outside to inside. The child was found by a another child's parent. The child was taken to the appropriate classroom to be supervised and unharmed.

See 809-D for deficiency
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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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Document Has Been Signed on 05/30/2024 01:32 PM - It Cannot Be Edited


Created By: Katrina Owens On 05/30/2024 at 10:10 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CADENCE EDUCATION LLC - TREHOWELL

FACILITY NUMBER: 313610268

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision:
No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

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Director stated that all staff receiving additional training on supervision during transition time. The staff involved was terminated.
Deficiency cleared.
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This requirement was not met by: A child was left unattended in a classroom during transition from outside to inside. Child was found by another child's parent and taken to a staff. Child had no injuries. Parent was notified.This is an immediate risk to a child. Civil Penalty assessed.
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LPA Owens gave and discussed LIC 9224 at time of inspection with Director.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Keven Peters
LICENSING EVALUATOR NAME:Katrina Owens
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2024


LIC809 (FAS) - (06/04)
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