Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306387
Report Date: 05/05/2016
Date Signed 05/05/2016 10:41:43 AM

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:C.P. HUNTINGTON CHILDREN'S CENTERFACILITY NUMBER:
340306387
ADMINISTRATOR:CORRAL, ANGELINAFACILITY TYPE:
850
ADDRESS:5917 26TH STREETTELEPHONE:
(916) 433-5438
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY:67CENSUS: 52DATE:
05/05/2016
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Lechele NessTIME COMPLETED:
11:00 AM
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LPAs LeGuie and Washington met with lead teacher Lechele Ness for a case management visit regarding an unusual incident reported 5/4/16.

Staff and children interviews were conducted.

Upon conclusion of the visit, LPAs emphasized that all children should be accorded dignity and respect in their relationships with staff at all times. In addition, "interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning," is prohibited.

An exit interview was conducted. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Teacher was encouraged to visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. The teacher was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of this form.

No title 22 deficiencies were cited during this visit.

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Eunique LeGuieTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2016
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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