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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620811
Report Date: 01/13/2025
Date Signed: 01/13/2025 09:57:50 AM

Document Has Been Signed on 01/13/2025 09:57 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: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: 9DATE:
01/13/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:director, Shrima BogollagamaTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Lauren Scott met with director, Shrima Bogollagama for the purpose of an unannounced plan of correction inspection to clear a Type B deficiency, which was issued on 12/13/24 for staff being without CPR certifications.

During today's inspection LPA toured all areas accessible to children in care and reviewed documentation all staff had valid CPR.

Deficiencies cited on 12/13/24 are cleared effective today. Exit interview conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
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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