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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619995
Report Date: 04/25/2024
Date Signed: 04/25/2024 04:02:04 PM

Document Has Been Signed on 04/25/2024 04:02 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:RIO LINDA PRESCHOOL CENTERFACILITY NUMBER:
343619995
ADMINISTRATOR/
DIRECTOR:		YANG, MAYFACILITY TYPE:
850
ADDRESS:631 L STREETTELEPHONE:
(916) 566-1600
CITY:RIO LINDASTATE: CAZIP CODE:
95673
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
04/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Laura VangTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On Thursday, April 25, 2024, Licensing Program Analyst (LPA) Lea Habtom arrived at Rio Linda Preschool for a case management inspection. The purpose of today's inspection is in response to the self reported unusual incident received on April 17, 2024. LPA L. Habtom conducted staff interviews and was unable to gather enough information to determine that Title 22 regulations were violated.

There were no children present during today's inspection. All staff present today have fingerprint clearances and associations. No Title 22 regulations were cited.

This report was reviewed with designated staff member, Laura Vang. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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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