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4TH R - TWO RIVERS

3201 WEST RIVER DRIVE, Sacramento, CA 95833

Facility:
343606960
Type:
SCHOOL AGE DAY CARE CENTER
Status:
Licensed
Records checked:
July 17, 2026
Additional info
Source:
California Community Care Licensing Division
District office:
Not listed
License effective:
Not found
Capacity:
200

Inspection snapshot

Questions worth asking

The available records raise questions worth asking before enrolling.

Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.

Latest inspectionMarch 25, 2026
Latest inspection with no recorded violationsMarch 25, 2026

Summary

This summary covers eight available inspections for 4TH R - TWO RIVERS from August 11, 2023 through March 25, 2026.

Two inspections recorded violations, with two recorded violations in total.

The most recent higher-concern violation was on February 18, 2025 and involved medication, with a due date of February 19, 2025.

Three later inspections, from January 12, 2026 through March 25, 2026, showed no recorded violations, but the records do not say whether they were formal follow-ups.

At a glance

Total inspections
8

3 in last 12 months

Recorded violations
2

0 in last 12 months

Higher-concern violations
2

0 in last 12 months

Repeated topics
0

Last 36 months

Local comparison

8 total inspections vs 4 local median in 95833

Compared to 42 local facilities

Recorded violations per inspection

This provider
0.25
Local median
0.31

Inspections with higher-concern violations

This provider
25%
Local median
18%

Inspections with recorded violations

This provider
25%
Local median
25%

Repeated topics

This provider
0
Local average
0.12

Repeated topics

Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.

No repeated topics found

The available reports do not show the same violation topic appearing in more than one inspection during the last 36 months. Review the inspection history below for one-time violations or report details.

Inspection history

Available inspection history. Select a violation topic for more info.

View official report
Higher concern: Medication
Report finding
Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above by having 1 expired Epinephrine autoinjector which had an expiration date of November 2024 which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by February 19, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 101226(e)(3)(A) - 101226(e)(3)(A)
Official code
101226(e)(3)(A)
View official report
Higher concern: Child guidance
Report finding
101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by: Based on observation and interview, the facility did not comply with the section cited above by having an incident where Staff #1 used foul language towards Child #1 which poses an immediate health, safety or personal rights risk to persons in care.
Report comments
Based on observation and interview, the facility did not comply with the section cited above by having an incident where Staff #1 used foul language towards Child #1 which poses an immediate health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 22, 2024
More details
Official CA class
Type A deficiency
Report section
CCR 101223(a)(3) - 101223(a)(3)
Official code
101223(a)(3)