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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624782
Report Date: 07/26/2023
Date Signed: 07/26/2023 10:58:22 AM

Document Has Been Signed on 07/26/2023 10:58 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:CITRUS HEIGHTS MONTESSORIFACILITY NUMBER:
343624782
ADMINISTRATOR:RENDLEMAN, JASMINEFACILITY TYPE:
850
ADDRESS:8085 OAK AVENUETELEPHONE:
(916) 910-9145
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 14DATE:
07/26/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jasmine RendlemanTIME COMPLETED:
11:10 AM
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At 9:30 a.m. on Wednesday, July 26th, Licensing Program Analyst (LPA) Karyn Guerra and Licensing Program Manager (LPM) Seychelle De Luca met with Director, Jasmine Rendleman, for the purpose of a prelicensing inspection. Licensee, Kavitha Vankayala was not present during inspection but was called to review report. LPA and LPM discussed Licensee Representative requirements. A census of 14 children supervised by 3 staff was observed. An initial prelicensing inspection was conducted on 4/20/2023. During today's inspection, LPA and LPM toured facility and observed corrections made as referenced in previous report.

An exit interview was conducted and this report was reviewed with the Director and the Licensee.

Effective today, July 26th, 2023, License is approved for 80 children including 68 preschool children aged 2 years to entry into kindergarten, and 12 toddlers ages 18-36 months under the toddler option program.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
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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