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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622006
Report Date: 08/19/2024
Date Signed: 08/19/2024 12:20:58 PM

Document Has Been Signed on 08/19/2024 12:20 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:APPLE A DAY PRESCHOOL & INFANT CTRFACILITY NUMBER:
343622006
ADMINISTRATOR/
DIRECTOR:		INGRAM, MICHELLEFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 10DATE:
08/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Michelle IngramTIME VISIT/
INSPECTION COMPLETED:
12:30 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 August 19, 2024, at approximately 11:30 AM Licensing Program Analyst (LPA) Josiah Gathing met with Michelle Ingram to amend previous reports. At the time of today's inspection there were 10 children supervised by 1 staff. LPA obtained signatures for amended documents and printed this report.

A notice of site visit was printed and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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 1