090313184-7-12-2019-03-CC-ESIA-BDZT7Y-20190712142930

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 090313184
Report Date: 07/12/2019
Date Signed: 07/12/2019 02:29:36 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:	LAKE TAHOE CHILD DEVELOPMENT CENTER (SCHOOL-AGE)		FACILITY NUMBER:	090313184
ADMINISTRATOR:	RODRIGUEZ,PATRICIA		FACILITY TYPE:	840
ADDRESS:	3441 SPRUCE AVENUE		TELEPHONE:	(530) 541-5887
CITY:	SOUTH LAKE TAHOE	STATE: CA	ZIP CODE:	96150
CAPACITY:	39	CENSUS: 29	DATE:	07/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Alexis Hughes		TIME COMPLETED:	02:45 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

Licensing Program Analyst (LPA) Elvira Sierra met with Assistant Director, Alexis Hughes for the purpose of an unannounced annual random inspection. Assistant Director was reminded never to exceed the conditions, limitations, and capacity specified on the license. Census included 29 school-age children supervised by 2 staff members. Facility hours of operation are Monday through Saturday from 07:00 AM to 07:00 PM and Sunday 07:00 AM to 05:00 PM. Facility is open all year round and closed only on thanksgiving and Christmas.

LPA inspected all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are stored appropriately and are inaccessible to children. Alexis stated that there are no poisons in the facility. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under climbing equipment are cushioned with bark to absorb the fall. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. The facility offer breakfast, lunch and a PM snack, which is prepared and delivered from the US Food and Crystal. Facility properly stores meals in a food warmer. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPA observed full legal signatures while reviewing the sign-in and sign-out sheet as required for school- age component.

Staff and children's records were reviewed. Each child's file contained an emergency card and a consent for medical treatment. At least one staff member present today has current Pediatric CPR and First Aid certification. All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. LPA reviewed the Department's inspection authority and discussed with Alexis any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

Report continued on page 2...

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LAKE TAHOE CHILD DEVELOPMENT CENTER (SCHOOL-AGE)	FACILITY NUMBER: 090313184
	VISIT DATE: 07/12/2019

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
26
27
28
29
30
31
32

Page 2..
The facility's Plan of Operation is located in the facility file. Incidental Medical Services (IMS) policy was discussed. IMS is provided by this facility. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 athttp://www.ada.gov/childqanda.htm.

Lead Poisoning Facts Information Flyer was provided and Licensee was advised that beginning January 1, 2019 a new law (AB 2370) requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

Licensee was updated on immunization requirements from the Department of Public Health(CDHP) that will become effective July 1, 2019. Additional information and resources can be found on the https://www.shotsforschool.org website.

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: http://www.ada.gov/childqanda.htm.
This facility evaluation report was reviewed and discussed with Alexis .A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Alexis was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so facility can request to be added to the distribution list to receive Quarterly Updates. In the areas that were evaluated, no deficiencies were observed at the time of the visit.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2