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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500377
Report Date: 03/13/2023
Date Signed: 03/13/2023 10:09:56 AM

Document Has Been Signed on 03/13/2023 10:09 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:KIDS PLACE 2 EXPLORE & LEARN LLCFACILITY NUMBER:
394500377
ADMINISTRATOR:CARINA DIAZ DE BARAJASFACILITY TYPE:
850
ADDRESS:9371 N. LOWER SACRAMENTO ROADTELEPHONE:
(209) 478-6161
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY: 90TOTAL ENROLLED CHILDREN: 65CENSUS: 30DATE:
03/13/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Carina Diaz De BarajasTIME COMPLETED:
10:30 AM
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Application Specialist (AS) Alecia Sifuentes met with Licensee, Carina Diaz De Barajas for the purpose of a case management inspection. Licensee requests to add a fifth classroom. Licensee is not making any changes to the capacity. The program currently operates Monday through Friday from 7:30 a.m. to 5:30 p.m.

INDOOR ACTIVITY SPACE:
Licensee is adding one addition classroom for a total of five preschool classrooms. AS observed a sufficient amount of equipment, toys, tables, chairs, nap mats, and cubbies. AS measured the additional classroom to add to the current square footage. The total classrooms space contains a total of 3,867 square feet. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Licensee was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Report continues LIC809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: KIDS PLACE 2 EXPLORE & LEARN LLC
FACILITY NUMBER: 394500377
VISIT DATE: 03/13/2023
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Exit interview conducted and report was reviewed with Licensee, Carina Diaz De Barajas. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Effective today, 3/13/2023, AS will approve the room addition.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
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