Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620071
Report Date: 12/14/2017
Date Signed 12/14/2017 03:13:44 PM

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:TWINKLE LITTLE STAR CENTERFACILITY NUMBER:
573620071
ADMINISTRATOR:INIGUEZ, JOSEFINAFACILITY TYPE:
830
ADDRESS:1401 EAST GUM AVETELEPHONE:
(530) 204-9709
CITY:WOODLANDSTATE: CAZIP CODE:
95776
CAPACITY:12CENSUS: 5DATE:
12/14/2017
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Josefina IniguezTIME COMPLETED:
11:15 AM
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Licensing Program Manager (LPM) Sharon Ogbodo and Licensing Program Analyst (LPA) Jeanne Smith met with the Licensee, Josefina Iniguez today to follow up with deficiencies cited on 11/17/2017. During today's inspection the facility was operating within ratio and had sufficient qualified staff present for the number of children they were supervising. Today there was one infant teacher/Licensee and one aide supervising 5 infants. Therefore, the deficiencies cited on 11/17/2017 were cleared today. An exit interview was conducted.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2017
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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