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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500429
Report Date: 01/17/2024
Date Signed: 01/17/2024 10:30:19 AM

Document Has Been Signed on 01/17/2024 10:30 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ACADEMY OF CHILD DEVELOPMENT & AMOREFACILITY NUMBER:
394500429
ADMINISTRATOR:AIDA LOMELIFACILITY TYPE:
830
ADDRESS:170 EAST FRENCH CAMP ROADTELEPHONE:
(209) 898-2958
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95321
CAPACITY: 4TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
01/17/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Aida LomeliTIME COMPLETED:
10:00 AM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Licensee, Aida Lomeli for the purpose of a case management inspection. Licensee is requesting a change of capacity for 12 infants. The fire clearance (STD850) was granted and received on 1/16/2024. The program currently operates Monday through Sunday from 6:00 a.m. to 5:00 a.m.

INDOOR ACTIVITY SPACE:
There is one infant classroom and a crib room. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, 10 cribs (2 cribs in storage), and napping cots. LPA measured the infant classroom. The infant classroom contains a total of 426 square feet, which will accommodate Licensee’s request for 12 infants. There is one sink located within arm’s reach of a changing table. There is a separate restroom for staff located in the infant classroom.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. LPA observed a Shared Outdoor Space Waiver posted. Licensee stated that no changes have been made with the outdoor space since licensure. LPA used current outdoor measurements from report dated 6/24/2021, therefore LPA did not take measurements. The outdoor play area contains a total of 2,879 square feet, which will accommodate Licensees request for 12 infants.

Licensee was reminded that all adults 18 and over, 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.

Report continues on LIC809-C.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ACADEMY OF CHILD DEVELOPMENT & AMORE
FACILITY NUMBER: 394500429
VISIT DATE: 01/17/2024
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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.

Exit interview conducted and report was reviewed with Licensee, Aida Lomeli.

Effective today, 1/17/2024, LPA will approve the change of capacity for 12 infants.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC809 (FAS) - (06/04)
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