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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621312
Report Date: 06/09/2022
Date Signed: 06/09/2022 02:12:19 PM

Document Has Been Signed on 06/09/2022 02:12 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:RIVER CITY EARLY LEARNING CTR (INF)FACILITY NUMBER:
343621312
ADMINISTRATOR:HERMOSILLO, MONIQUEFACILITY TYPE:
830
ADDRESS:3050 BABSON DRIVETELEPHONE:
(916) 691-6420
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 72DATE:
06/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jessica Dawson-BrownTIME COMPLETED:
02:30 PM
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On 06/09/2022, Licensing Program Analyst (LPA) Katy Maestas conducted a field visit to Center for the purpose of a Case Management inspection. LPA disclosed the purpose of the inspection and was granted entrance into the Center. LPA was greeted by Center Director Jessica Dawson-Brown (D1). LPA toured the Center and observed 14 children, under the age of 2 years, being supervised by 4 adults. LPA observed 47 preschool aged children under the supervision of 7 adults. LPA observed 11 school aged children under the supervision of 1 adult. LPA determined through Guardian that all required adults in the facility were background cleared.

LPA interviewed D1 regarding an Unusual Incident Report (UIR) that is dated 05/17/2022. LPA interviewed 2 staff members and reviewed staff files. LPA reviewed children's files but did not interview any children due to their young age. LPA requested a copy of the Facility Roster and a class list. Documents were collected by LPA regarding the UIR.

No deficiencies were cited today, 06/09/2022. An exit interview was conducted, and the report was reviewed with D1. Licensee Appeal Rights were provided to D1. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Nola Maestas
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2022
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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