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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622006
Report Date: 02/22/2023
Date Signed: 02/22/2023 10:59:20 AM

Document Has Been Signed on 02/22/2023 10:59 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: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: 7DATE:
02/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Michelle IngramTIME COMPLETED:
11:10 AM
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At 9:00 a.m. on Wednesday, February 22nd, 2023, Licensing Program Analysts (LPAs) Karyn Guerra and Josiah Gathing met with Director, Michelle Ingram, for the purpose of an unannounced case management inspection. A citation was issued previously on 10/19/2022 regarding sanitation practices. During today's inspection, LPAs observed that floors have been cleaned. Corrections have been made per POC and the citations have been cleared. In the areas that were evaluated, no deficiencies were cited during today's inspection. An exit interview was conducted and this report was reviewed with the Director, Michelle Ingram. Appeal rights and a notice of site visit were provided. Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023
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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