<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617315
Report Date: 06/16/2021
Date Signed: 06/16/2021 04:06:36 PM

Document Has Been Signed on 06/16/2021 04:06 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:CADENCE EDUCATION LLC - EL CAMINOFACILITY NUMBER:
343617315
ADMINISTRATOR:JONES, CYNTHIAFACILITY TYPE:
850
ADDRESS:5739 EL CAMINO AVENUETELEPHONE:
(916) 481-6144
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 84TOTAL ENROLLED CHILDREN: 0CENSUS: 48DATE:
06/16/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Cynthia Jones, DirectorTIME COMPLETED:
04:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 16, 2021 at 3:00 p.m., Licensing Program Analyst (LPA) Joleen Kenney conducted a case management inspection and met with the Director, Cynthia Jones. The purpose of the inspection was in follow up to the Unusual Incident Report (UIR) that was submitted by the facility to Community Care Licensing on June 14, 2021. The UIR was for an incident that occurred on June 14, 2021 when child #1 was observed by a staff member to be alone in the Lemurs classroom unsupervised. It was stated that staff were unaware that child #1 was left inside the classroom until they were informed by another staff. Video review determined that the child was left unsupervised in the classroom for a 15 minute period of time.

Type A deficiency was cited and a civil penalty of $500 was assessed on the following pages of this report for absence of supervision.

Upon receipt of a Type A citation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. The LIC 9224 must be signed by parents/guardians and kept as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 is available on the website. If the LIC 9224 is not used, the licensee shall prepare a statement indicating the documents have been provided. Licensee shall require the parent/guardian to sign and date the statement and shall keep the signed statement as receipt. Verification of receipt shall be kept in each child's file at the facility.

Notice of Site Visit was provided and posted. Appeal Rights were provided and an exit interview was conducted.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Joleen Kenney
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
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 06/16/2021 04:06 PM - It Cannot Be Edited


Created By: Joleen Kenney On 06/16/2021 at 03:32 PM
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 - EL CAMINO
FACILITY NUMBER: 343617315

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2021
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child 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).
1
2
3
4
5
6
7
The Director stated that staff have completed a training this morning 6/16/2021 regarding safety and supervision and name to face. A planned training is scheduled for June 28th with the remaining staff to review the safety and supervision and name to face training. The Director will provide a copy of the training and list of staff that completed the training.
8
9
10
11
12
13
14
Supervision shall include visual observation.
This requirement is not met as evidenced by: The facility reported that Child #1 was left in the classroom without staff supervision. This is an immediate health and safety risk to children in care.
A Civil Penalty in the amount of $500.00 was assessed for absence of supervision.
8
9
10
11
12
13
14
POC cleared at today's visit.



1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Roxana Saravia
LICENSING EVALUATOR NAME:Joleen Kenney
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2021


LIC809 (FAS) - (06/04)
Page: 2 of 2