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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343610254
Report Date: 12/20/2022
Date Signed: 12/20/2022 11:56:52 AM

Document Has Been Signed on 12/20/2022 11:56 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:CADENCE EDUCATION, LLC - SKYLANDFACILITY NUMBER:
343610254
ADMINISTRATOR:PATTEN, MARYFACILITY TYPE:
850
ADDRESS:4110 SKYLAND COURTTELEPHONE:
(916) 725-0302
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 164TOTAL ENROLLED CHILDREN: 164CENSUS: 56DATE:
12/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mary Patten TIME COMPLETED:
12:15 PM
NARRATIVE
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On December 20, 2022 LPA Lea Habtom conducted a case management visit in response to the unusual incident report received on December 14, 2022. The director, Mary Patten, self-reported the incident to licensing on form LIC 624 unusual incident report. Today's census was 43 preschool children and 11 toddlers being supervised by 10 staff members in the Kinder, Safari, Turtle, Armadillo and Barnyard classrooms. All individuals present today have fingerprint clearances and are associated to the facility.

LPA L. Habtom conducted an interview with the director Mary Patten who reported the incident. On December 13, 2022 staff member (S1) was in the Safari classroom getting ready to transition the 10 children outside around 10:30 am. S1 had the children line up in the classroom and began calling the children's name's. As the teacher was escorting the children outside the teacher failed to follow policy procedure by having the children line up against the wall outside of the classroom prior to exiting the facility. At that time the teacher was to do a face to name check for each child and mark on the facility roster that each child was accounted for during the transition. The teacher then failed to perform a name to face check at the wall prior to entering the playground. The teacher took 9 children outside to the playground not realizing one was in the classroom. Around 10:40 am the cook (S2) was delivering food to the Safari classroom for lunch and noticed a child in the classroom alone playing in the kitchen area with no staff. Management was notified by the cook and the child was brought out to S1. The director contacted the parents and notified them of the incident.

Based on the interview with the director and the self-reported unusual incident report LPA L. Habtom has determined that there was a violation in Title 22 regulations which has been cited on 809-D.



Title 22 Deficiency has been cited on the attached LIC 809-D. LPA Lea Habtom informed the director Mary Patten that this report dated December 20, 2022 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the director to provide a copy of this licensing report dated December 20, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 12/20/2022 11:56 AM - It Cannot Be Edited


Created By: Lea Habtom On 12/20/2022 at 11:34 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CADENCE EDUCATION, LLC - SKYLAND
FACILITY NUMBER: 343610254

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/22/2022
Section Cited
CCR
101229(a)(1)

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Responsiblity for Providing Care 101229 )(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) 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.
This requirement was not met as evidenced by:
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The director stated that a training will be conducted on December 20, 2022 with all staff regarding the policy on the face to name for accounting for children. Director stated staff was also terminated. LPA L. Habtom asked to provide the minutes of the meeting & the sign in sheet via email.
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A child was left in a classroom when the teacher took the children outside to play. The child was found in the classroom by the cook which poses an immediate risk to the children in care.
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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:Lea Habtom
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2022


LIC809 (FAS) - (06/04)
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