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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093600737
Report Date: 12/10/2019
Date Signed: 12/10/2019 01:09:05 PM

COMPREHENSIVE INSPECTION
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:KEN LOWRY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
093600737
ADMINISTRATOR:FIERI, KARRIEFACILITY TYPE:
850
ADDRESS:6767 GREEN VALLEY RDTELEPHONE:
(916) 622-7130
CITY:PLACERVILLESTATE: CAZIP CODE:
95667
CAPACITY:96CENSUS: 48DATE:
12/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Colleen BraunbeckTIME COMPLETED:
01:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Ferrara met with Program Coordinator Colleen Braunbeck for the purpose of an unannounced random annual inspection. The program operates on the El Dorado County Office of Education campus and is a Title5/State Preschool and Title 22/Head Start currently operating in classrooms: M2, M3, M7, and M8. All staff receive fingerprint clearance on site. Appropriate ratio and care and supervision were observed during today's inspection. Census included 48 preschool children being supervised by 10 staff. Coordinator was reminded never to exceed the conditions, limitations and capacity specified on the license. The program operates Monday through Friday 8 AM-4 PM with a morning and afternoon program.

LPA toured each classroom, restroom, and outdoor play area. The program provides lunch and an AM and PM snack and the menu was posted. Other Licensing documentation was posted including Parents Rights, Personal Rights, Carseat laws, Emergency Disaster Plan, and Activities Calendar. The classrooms appeared clean including carpets and floor and were in good repair. The playground equipment and surfaces were inspected and are safe. The areas around or under the climbing equipment are cushioned with enough resilient material to absorb a fall and there is adequate shade. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. Each classroom has a functional smoke and carbon monoxide detector. LPA observed a cubby available for each child and a binder for the parents to sign their children in and out of the facility. Chemical cleaning products were stored inaccessible to children.

A sample of children and staff files were reviewed. All children's files contained Personal and Parents Rights signed, Immunization record, and all other required information was provided on their own specific forms. Staff files contained the required documentation and each staff has completed the Mandated Reporter training through Works International. At least one staff present today has current Pediatric CPR and First Aid certification that expires in April 2021. LPA observed a current children's roster and a fire drill was conducted on November 15th, 2019

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KEN LOWRY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 093600737
VISIT DATE: 12/10/2019
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Incidental Medical Services (IMS) are provided by the facility. The facility has a first aid box with ample supplies. For additional IMS information, director 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.

The facility evaluation report was reviewed and discussed with the Coordinator. LPA encouraged the Coordinator to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. LPA provided the Effects of Lead Exposure brochure. LPA discussed with the Lead Teacher Assembly Bill 2370, which will require licensed Child Care Facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1, 2020 and must be conducted every five years.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

Based on today's inspection, there were no deficiencies cited.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019
LIC809 (FAS) - (06/04)
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