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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500315
Report Date: 10/02/2024
Date Signed: 10/02/2024 11:39:46 AM

Document Has Been Signed on 10/02/2024 11:39 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ACADEMY OF CHILD DEVELOPMENT & AMOREFACILITY NUMBER:
394500315
ADMINISTRATOR/
DIRECTOR:		AIDA LOMELIFACILITY TYPE:
850
ADDRESS:170 EAST FRENCH CAMP ROADTELEPHONE:
(209) 898-2958
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 9DATE:
10/02/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Aida LomeliTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On October 10, 2024, Licensing Program Analysts (LPAs) Lauren Scott and Janie Davis met with licensee, Aida Lomeli for the purpose of a case management inspection due to deficiencies.

LPAs reviewed past Type A citations issued on 09/25/2024. LPAs requested to review copies of the signed LIC9224 forms for families currently enrolled. Facility was only able to supply LPAs with one signed form.

LPA Scott informed licensee that this report dated October 10, 2024, documents one Type B citation, stating there is a potential risk to the health, safety, or personal rights of children in care.

Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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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Document Has Been Signed on 10/02/2024 11:39 AM - It Cannot Be Edited


Created By: Lauren Scott On 10/02/2024 at 11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ACADEMY OF CHILD DEVELOPMENT & AMORE
FACILITY NUMBER: 394500315

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2024
Section Cited
HSC
1596.8595(c)(1)

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A licensed child day care facility shall provide to the parents... copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph. This requirement was not met as evidenced by:
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Facility will have all LIC9224 documents signed by currently enrolled families and have them available for review by CCLD
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Facility had only one LIC9224 form signed by parents available for review by LPA

This is a potential health, safety or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chayntel Hunter
LICENSING EVALUATOR NAME:Lauren Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2024


LIC809 (FAS) - (06/04)
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