093601887-2-23-2023-03-CC-SMAX-CPBPKD-20230223102259

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093601887
Report Date: 02/23/2023
Date Signed: 02/23/2023 10:23:22 AM

Document Has Been Signed on 02/23/2023 10:23 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:	CHARLES BROWN STATE PRESCHOOL		FACILITY NUMBER:	093601887
ADMINISTRATOR:	HARRIS, MIKE		FACILITY TYPE:	850
ADDRESS:	6520 OAK DELL RD		TELEPHONE:	(916) 621-1832
CITY:	DIAMOND SPRINGS	STATE: CA	ZIP CODE:	95623
CAPACITY:	24	CENSUS: 8	DATE:	02/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Kathleen Mccullough		TIME COMPLETED:	10:30 AM

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Licensing Program Analyst (LPA) Soleil Marx met with Facility Representative, Kathleen Mccullough, for an unannounced annual inspection. LPA observed a census of 8 preschool age children with 2 staff. Facility hours of operation are Monday through Friday, 08:15 AM to 2:45 PM.

LPA inspected all activity and classroom spaces, restrooms, food service, and outdoor play areas. Hazardous items are inaccessible to children. Furniture and equipment are in operable and safe condition.Playground equipment and surfaces are free of loose or sharp parts, adequate cushioning was observed in areas underneath climbing equipment, and adequate shading provided. Toileting facilities are in safe, sanitary, and operating condition. The floors appeared clean throughout the facility. Storage containers with solid waste have tight-fitting covers in each classroom. Menus were posted for breakfast, lunch, and PM snack, which is provided by the facility. Drinking water was readily available to children both indoors and outdoors via water jug and cups. LPA observed a fire extinguisher within the facility that meets regulations and a functioning carbon monoxide detector. Medications are appropriately stored in high cabinet inaccessible to children. Facility uses full legal signatures for sign in/sign out records. LPA observed required postings.

Children records were reviewed, it was observed that each child's file contained all required documentation. Staff records were reviewed for all present staff. At least one staff member present today has current Pediatric CPR and First Aid certification which expires 01/2025. All staff currently employed with the facility have complete files including a criminal record clearance, a health screening report, immunization records, current AB1207 Mandated Reporter Training, and documentation of their educational background, training, and/or experience. Last fire drill was conducted on 02/22/2023 and was documented. (1/2)

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Soleil Marx	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023

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: CHARLES BROWN STATE PRESCHOOL	FACILITY NUMBER: 093601887
	VISIT DATE: 02/23/2023

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Incidental Medical Services (IMS) policy was discussed. This facility provides IMS. 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 at: http://www.ada.gov/childqanda.htm.

LPA informed the Director about Assembly Bill 2370, which will require certain licensed Child Care Facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1, 2023.

LPA encouraged the Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding childcare updates, forms, regulations, and legislation pertaining childcare centers. LPA also encouraged the Director to sign up for the Child Care Advocates quarterly newsletter.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Based on today’s inspection, no title 22 Deficiencies are being cited.

This report was reviewed with facility representative, and an exit interview was conducted.

A Notice of Site Visit was provided and must remain posted for 30 days. (2/2)

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Soleil Marx	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023

LIC809 (FAS) - (06/04)

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