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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 090320674
Report Date: 11/18/2019
Date Signed: 11/18/2019 01:05:59 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 COMMUNITY COLLEGE CHILD DEVEL CTRFACILITY NUMBER:
090320674
ADMINISTRATOR:AMATO, LESLIEFACILITY TYPE:
830
ADDRESS:ONE COLLEGE DRTELEPHONE:
(530) 541-4660
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:16CENSUS: 14DATE:
11/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Leslie AmatoTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA), Goodell met with director Leslie Amato for an unannounced Annual Inspection. The facilities hours of operation are Monday- Friday, 7:30am- 6:30am. During inspection LPA observed 24 children with 4 staff members present. All individuals present have obtained fingerprint clearance.

LPA toured the facility including activity/classroom areas, furniture, equipment, food service area and restrooms. LPA observed cleaning compounds inaccessible to children. LPA observed that the changing tables are located near a sink. LPA observed the outdoor area and play equipment. LPA observed fire extinguisher 2A10BC, carbon monoxide and smoke detector.

LPA reviewed children files and Infant’s Needs and Services plan. LPA observed that all infant bottles are labeled and dated. Director stated all milk and food brought from home are returned daily. LPA observed the napping equipment. The director acknowledged that the nap area is separate from the activity area and direct supervision is required in both areas. LPA reviewed staff files and educational requirements, including the Infant course. LPA observed that at least one staff member present during today’s inspection has current Pediatric CPR/First Aid that expires 5/5/2020. LPA provided the Community Care Licensing website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations, self-assessment guides and access forms. LPA advised the director of their responsibility to stay current with new regulations.

No Title 22 Deficiencies cited. LPA reviewed report with the director. Notice of Site Visit (LIC9213) was issued and must remain posted for 30 days.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal GoodellTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019
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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