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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623428
Report Date: 11/13/2024
Date Signed: 11/14/2024 08:07:13 AM

Document Has Been Signed on 11/14/2024 08:07 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BUILDING KIDZ - ELK GROVEFACILITY NUMBER:
343623428
ADMINISTRATOR/
DIRECTOR:		MAGALE OROZCOFACILITY TYPE:
850
ADDRESS:7511 WEST STOCKTON BLVDTELEPHONE:
(916) 688-5437
CITY:SACRAMENOSTATE: CAZIP CODE:
95823
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 23DATE:
11/13/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Mercy Ishida and Angelina BowersTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Manager (LPM) Natalie Dunaway and Licensing Program Analyst (LPA) Gagandeep Singh met with Licensee Representatives, Mercy Ishida and Angelina Bowers, 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 citations issued on 10/3/2024 (case management) and 10/21/2024 (plan of correction) for the operating the facility out children to teacher ratio (101216.3(b)).

The Licensee Representatives stated that they have taken the following steps to maintain compliance:

1. The facility has brought back the former staff, that is fully qualified.
2. Licensee is in process of hiring two additional fully qualified staff members.
3. Licensee, Mercy Ishida, agreed to provide the copy of her own transcripts to qualify as fully qualified staff.

LPA discussed follow up documentation for file. LPA and LPM reviewed ratio 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.

This report was reviewed and provided to the Licensee Representatives.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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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