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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624917
Report Date: 03/18/2025
Date Signed: 03/18/2025 10:08:20 AM

Document Has Been Signed on 03/18/2025 10:08 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:MISSION AVENUE PRESCHOOLFACILITY NUMBER:
343624917
ADMINISTRATOR/
DIRECTOR:		CHRISTINA DIAZ BUSHMANFACILITY TYPE:
850
ADDRESS:2433 MISSION AVENUETELEPHONE:
(916) 487-4647
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 28DATE:
03/18/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Brandy HooperTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On March 18, 2025, Licensing Program Analyst (LPA) Kyrsten Williams arrived at the facility for the purpose of an unannounced case management inspection. LPA met with facility representative Brandy Hooper. LPA attempted to interview a child for an incident unrelated to this facility. Upon arrival, LPA observed 28 preschool children being supervised by 4 staff.

Based on the inspection, no citations have been issued. Exit interview conducted and report was reviewed with facility representative, Brandy Hooper.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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