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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620811
Report Date: 05/31/2024
Date Signed: 05/31/2024 10:25:54 AM

Document Has Been Signed on 05/31/2024 10:25 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:LITTLE FRIENDS MONTESSORIFACILITY NUMBER:
573620811
ADMINISTRATOR/
DIRECTOR:		BOGOLLAGAMA, SHRIMAFACILITY TYPE:
850
ADDRESS:1101 &1103 F STREETTELEPHONE:
(530) 753-0300
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 15DATE:
05/31/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Shrima BogollagamaTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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On 05/31/2024, Licensing Program Analyst Jennie Tedlos (LPA) conducted a case management inspection to verify corrections of a deficiency cited on 04/29/2024. LPA arrived at the facility and was met by Director Shrima Bogollagama (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA toured the facility and observed 15 preschool aged children being supervised 3 staff members. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.

On 04/29/2024, the facility was cited a Type B deficiency regarding play equipment with sharp, loose, or pointed parts. D1 has removed the toys and play structures with the sharp, loose, or pointed parts. The deficiency was cleared by today's field visit. A Proof of Correction letter was provided to D1.

On 04/29/2024, the facility was cited a Type B deficiency regarding lack of cushioning under the wooden play structure. D1 has added sufficient cushioning, pea gravel, underneath the play structure. The deficiency was cleared by today's field visit. A Proof of Correction letter was provided to D1.

No deficiencies were cited today in the areas that were evaluated on 05/31/2024. An exit interview was conducted and the report was reviewed with Director Shrima. Licensee Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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