045405308-6-13-2019-13-CC-SHUD-BD4SJM-20190613135522

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 045405308
Report Date: 06/13/2019
Date Signed: 06/13/2019 01:55:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	E CENTER HS PGMS - BOOTH DR. CTR. - INFANT		FACILITY NUMBER:	045405308
ADMINISTRATOR:	ALCANTAR, SANDRA		FACILITY TYPE:	830
ADDRESS:	1567 BOOTH DRIVE		TELEPHONE:	(530) 846-0157
CITY:	GRIDLEY	STATE: CA	ZIP CODE:	95948
CAPACITY:	8	CENSUS: 6	DATE:	06/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:49 AM
MET WITH:	Rosalinda Curiel, Center Director		TIME COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced annual random inspection was made to the facility by Licensing Program Analyst (LPA), Sandy Husband. The facility file was reviewed prior to this visit on 6/13/19. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Operating hours are 5 AM - 5 PM, M-F, from Mid-May to Mid-October. This a combination center with a toddler component containing a separate preschool license and the infant facility is located in Room #1. The facility was toured inside and outside and the floor and yard plan were verified. Activity space for infants is separate from other age groups. The licensed infant facility is located on the same site as the Gridley Children's Center. The Center Director reported that there are no poisons on site and none were observed during the visit. Infant food/formula was appropriately stored and was protected from contamination. Food preparation and storage areas were clean and sanitary. Bottles and snack food was labeled. The toys, floors, desks and other equipment appeared clean and sanitary. A smoke alarm, carbon monoxide detector and charged fire extinguisher was present in the facility. Laundering is provided daily for each infant. The surface of the changing table contains at least one inch of padding and is covered with washable vinyl or plastic; the sides of the changing table were raised at least three inches. A sink was within an arm's reach of the changing table. The director stated no weapons are stored on site and none were observed. The playground was completely fenced. The playground equipment appeared in safe condition. There is no equipment in the infant playground tall enough to require cushioning to absorb a fall. Floor mats are taken outdoors for infant's outdoor activity time. There is uncontaminated drinking water available to children both indoors and outdoors via drinking water dispensers containing water delivered to the (Continued on LIC 809-C)

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: E CENTER HS PGMS - BOOTH DR. CTR. - INFANT	FACILITY NUMBER: 045405308
	VISIT DATE: 06/13/2019

NARRATIVE

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(Continued from LIC 809)
facility by a professional water company. Drinking water is purchased for the center as tap water contains contaminants according to the most recent water report. During today's inspection, infant staffing ratios were being met. Upon arrival at approximately 12:00 PM there were 6 infants napping and being supervised by 3 teachers/aides. The facility was operating within the licensed capacity. At least one staff member present possessed current CPR and First Aid certifications and expires on 6/2020. An emergency drill was conducted within the past 6 months on 5/31/19. The electronic sign-in/sign-out was in compliance. At 1:15 PM, 6 children’s records were reviewed and contained identification forms with authorized representative information, medical assessments, infant feeding plans and Infant Needs and Services Plans. At 12:30 PM, 4 staff records were reviewed and contained documentation of education, health screening and mandated reporter training, and immunizations as required. This facility is not providing Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Center Director, Rosalinda Curiel. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019

LIC809 (FAS) - (06/04)

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