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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500321
Report Date: 04/29/2021
Date Signed: 04/29/2021 12:47:12 PM

Document Has Been Signed on 04/29/2021 12:47 PM - 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:ACADEMY OF CHILD DEVELOPMENT AND AMOREFACILITY NUMBER:
394500321
ADMINISTRATOR:AIDA LOMELIFACILITY TYPE:
840
ADDRESS:170 E. FRENCH CAMPTELEPHONE:
(209) 898-2958
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 10TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/29/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Aida Lomeli TIME COMPLETED:
01:30 PM
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Application Specialist (AS) Alecia Sifuentes met with Applicant, Aida Lomeli for the purpose of a second announced pre-licensing tele-inspection via FaceTime due to COVID-19. Applicant requests a school-age license to serve 10 school-age children enrolled in Kindergarten and above. During the initial pre-licensing tele-inspection, the space for the school-age children only allowed for a maximum of 6 children. Applicant has moved the wall partition separating the school-age and preschool classrooms to allow for more space in the school-age area.

Applicant measured the school-age space, and AS walked her through the measuring process. The total classroom space contains a total of 352.99 square feet, which will accommodates Applicant's request for 10 school-age children.

This facility evaluation report was reviewed and discussed with Applicant. AS emailed a copy of the LIC809 to Applicant. Applicant understands she must reply that she received, read, and understands the report.

CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:
1. Final file review by Regional Manager (RM) Sharon Ogbodo.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2021
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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