090321338-5-17-2023-03-CC-EPGO-CRWQ2T-20230517114738

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 090321338
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:48:39 AM

Document Has Been Signed on 05/17/2023 11:48 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	CAMERADO SPRINGS HEAD START		FACILITY NUMBER:	090321338
ADMINISTRATOR:	SILVERBUSH/VALLE		FACILITY TYPE:	850
ADDRESS:	2480 MERRYCHASE DRIVE		TELEPHONE:	(530) 295-4516
CITY:	CAMERON PARK	STATE: CA	ZIP CODE:	95682
CAPACITY:	30	CENSUS: 16	DATE:	05/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Jessica Scott Flores		TIME COMPLETED:	10:50 AM

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 Erwina Pascual-Golamco (LPA) met with Facility Representative (FR) Jessica Scott Flores, for an unannounced annual inspection. LPA toured the facility, including all activity and classroom spaces, restrooms, and outdoor play areas. Census included 16 preschool children being supervised by 5 classroom staff. FR was reminded never to exceed the conditions, limitations, and capacity specified on the license. This site operates in the Head Start portable with a State Preschool program from 8:00am to 11:00am and a Head Start program from 11:00am to 2:30pm following the Buckeye Unified School District Calendar. These programs also has a special education full inclusion program from 8:30 am to 11:00 am, and 12:00 to 2:30pm. LPA observed a posted menu. The facility provides breakfast, lunch and an afternoon snack. All food is delivered and minimal food preparation is done in the classroom. FR was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. continued...

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco	TELEPHONE: (916) 206-1524
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CAMERADO SPRINGS HEAD START	FACILITY NUMBER: 090321338
	VISIT DATE: 05/17/2023

NARRATIVE

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Classrooms are clean, including the carpets and floors, and are free from hazards. Chemicals were kept inaccessible to children. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to cushion fall.

Bathrooms were observed and all sinks and toilets were sanitary and in operating condition. There are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. LPA observed all required licensing documentation was posted for parental review. LPA observed that parents are signing their children in and out of the center.

Children’s and staff’s files were reviewed. Each child's file had the required licensing documentation. LPA reviewed staff transcripts and observed all staff caring for children were qualified. At least one staff had a current Pediatric CPR and First Aid Certification. Staff all have current Mandated Reporter certificates and proof of immunization. LPA observed a current children's roster and a fire drill log. There is First Aid equipment available.

Incidental Medical Services (IMS) were discussed. For additional IMS information. FR was advised to 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: http://www.ada.gov/childqanda.htm.

FR was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding childcare updates, PINs, forms, regulations and legislation pertaining to childcare centers.

No deficiencies were cited during today's inspection. This report was reviewed with FR, and an exit interview was conducted. A Notice of Site Visit (NOS) was provided to FR, who will post it for a period of 30 days for parental review.

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco	TELEPHONE: (916) 206-1524
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC809 (FAS) - (06/04)

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