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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622006
Report Date: 01/19/2023
Date Signed: 01/19/2023 12:00:24 PM

Document Has Been Signed on 01/19/2023 12:00 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:APPLE A DAY PRESCHOOL & INFANT CTR (PS)FACILITY NUMBER:
343622006
ADMINISTRATOR:FARFAN, LILIYAFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
01/19/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Michelle IngramTIME COMPLETED:
12:00 PM
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Licensing Program Manager (LPM) Seychelle De Luca and Licensing Program Analysts (LPAs) Karyn Guerra and Josiah Gathing, met with Acting Director, Michelle Ingram, for the purpose of an informal office visit.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance.

Today's informal meeting was to discuss the Type A and B citations issued from 7/12/2022-10/19/2022 during Complaint, Required – 1 Year, and Case Management Inspections.

On 7/12/2022 the facility was cited a type A citation regarding Ratio.
On 7/12/2022 the facility was cited a type A citation regarding Supervision.
On 10/19/2022 the facility was cited a type B citation regarding Physical Plant.
On 10/19/2022 the facility was cited a type B citation regarding Furniture and Equipment.
On 10/19/2022 the facility was cited a type B citation regarding Physical Plant.

The Acting Director stated that they have taken the following steps to maintain compliance:

1. Wood chips have been filled beneath play structure.
2. Floors have been cleaned and a carpet cleaner has been purchased.
3. Additional training and staffing schedule changes have been made to address supervision.
4. Chairs have been cleaned.

report continued on 809-C.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: APPLE A DAY PRESCHOOL & INFANT CTR (PS)
FACILITY NUMBER: 343622006
VISIT DATE: 01/19/2023
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LPA Guerra discussed Director and Licensee Representative Qualifications. LPA discussed follow up documentation for file. LPA and LPM reviewed ratio, physical plant, and supervision requirements. LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Acting Director will follow up with request to LPA for TSP services. LPA Guerra discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM De Luca suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

This report was reviewed with the Acting Director. Acting Director stated they will share the reports with the Licensee.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC809 (FAS) - (06/04)
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