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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622983
Report Date: 03/28/2023
Date Signed: 03/28/2023 11:25:29 AM

Document Has Been Signed on 03/28/2023 11:25 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:SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCAREFACILITY NUMBER:
343622983
ADMINISTRATOR:KINZ, KIMBERLYFACILITY TYPE:
850
ADDRESS:7525 AUBURN BLVD, SUITE 5TELEPHONE:
(916) 735-5350
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 21DATE:
03/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Tara TaylorTIME COMPLETED:
11:40 AM
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At 9:10 a.m. on Tuesday, March 28th, 2023, Licensing Program Analysts (LPAs) Karyn Guerra and Mai Lor met with Licensee, Tara Taylor, for the purpose of a case management - licensee initiated inspection. LPAs observed a census of 16 preschool children supervised by 3 staff, and 5 toddler children supervised by 1 staff. Licensee requests a room change and capacity change. Preschool children will now be using both classrooms with doors, and school age children will be using the workshop space. The toddler option will be removed from the preschool program and the toddler classroom space and capacity will be utilized by the infant program. The capacity will change from 39 children to 27 children. An updated application form LIC200A was received during inspection.

Indoor activity space
The indoor activity spaces were measured previously. Total square footage of the indoor play space in the newly designated preschool classrooms measures 1526 square feet. The total indoor square feet will accommodate the requested capacity of 27 children.

Outdoor Activity Space
The outdoor play area is fenced and shade is provided. The outdoor activity space was previously measured during a prelicensing inspection and has not changed. The space will accommodate a capacity of 20 children at a time. Age appropriate materials are available in bins. There is a shared play space waiver on file.

No deficiencies were cited during today's inspection. This report was reviewed with the Licensee, Tara Taylor, and an exit interview was conducted. A notice of site visit was provided and shall remain posted for 30 days.

The following corrections are needed prior to room and capacity change approval:
1. The department shall receive an approved updated fire clearance.
2. Licensee will provide an updated parent handbook and admission agreement to reflect the removal of the toddler option.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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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