093610400-8-20-2019-03-CC-ESIA-BF8QMB-20190820121716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093610400
Report Date: 08/20/2019
Date Signed: 08/20/2019 12:17:25 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:	AL TAHOE SCHOOL HEAD START		FACILITY NUMBER:	093610400
ADMINISTRATOR:	GUTIERREZ, ROSA		FACILITY TYPE:	850
ADDRESS:	1100 LYONS AVE.		TELEPHONE:	(530) 541-0284
CITY:	SOUTH LAKE TAHOE	STATE: CA	ZIP CODE:	96150
CAPACITY:	48	CENSUS: 0	DATE:	08/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Colleen Braunbeck		TIME COMPLETED:	12:30 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 Program Coordinator, Colleen Braunbeck for an Annual/Random Inspection. Facility operates in the Al Tahoe campus with SLT Unified School District in classrooms # C1, and # C2, M-F from 08:30 AM to 03:00PM. Facility follows Lake Tahoe School District Calendar. Present during the inspection were 3 staff, in addition to Program Coordinator, no children were present. Program Coordinator stated that all classrooms toys and equipment are being clean and sanitized at the moment preparing for the new school year that begins on September 3, 2019. Facility operates under two programs State Funding and Federal Funding (Head Start). Program Coordinator stated that facility will operates state preschool program in the morning from 08:30 to 11:30 and Head Start program in the afternoon from 11:30 to 03:00PM. Teachers will work the full day and classroom assistants will work in the morning and afternoon with overlap in the middle of the day. Program Coordinator stated that most children will be enroll full day but some children maybe enroll in just the morning or the afternoon. LPA inspected the facility indoors and outdoors for health and safety hazards and observed the following; Classrooms have age appropriate toys and equipment that are in good repair. Cubbies are located inside the classrooms for children’s belongings. Facility obtained napping equipment for children capacity in classrooms C1, C2 and portable. Disinfectants, cleaning solutions are stored inaccessible to children. Coordinator was advised that storage areas for poisons shall be locked. Medications are keep in every classroom in the top cabinet located next to the sink. There are 2 restrooms for children's usage; the girls' restroom which is equipped with 4 toilets, 2 sinks and 1 changing table and the boys' restroom equipped with 2 toilets, 5 urinals and 3 sinks. Bathrooms are used by other preschool programs (Appleseeds Preschool, Bridge Language Academy, Speech Therapy preschool). LPA is unsure if facility has a bathroom waiver on file. Staff use a separate bathroom located inside the school grounds. Restrooms are maintained clean, in good repair and with adequate supplies. Drinking water is readily available Indoors and outdoors via pitcher/cups. Facility has a fire extinguisher that meets the minimum requirements, a smoke and a carbon monoxide detector. Per Program coordinator there are no Firearms/ weapons in the facility or bodies of water. 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: 08/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019

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: AL TAHOE SCHOOL HEAD START	FACILITY NUMBER: 093610400
	VISIT DATE: 08/20/2019

NARRATIVE

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The department received an approved fire clearance for 64 children on 07/22/19.

Prior to issuing the license capacity for 64 children the following must be submitted:

Facility must submit a Waiver to share playground with other programs and outdoor activities schedule rotation.
A waiver request for bathroom shared with other programs.

Once the above items have been received and upon Manager approval LPA Sierra will recommend the increase capacity for 64 children.

No deficiencies were cited during today's visit.
Notice of Site Visit posted. Exit interview conducted.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3

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: AL TAHOE SCHOOL HEAD START	FACILITY NUMBER: 093610400
	VISIT DATE: 08/20/2019

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Outdoor activity space surface is maintained in good condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. Playground equipment is in good repair and age appropriate. Emergency supplies are available and maintained. First Aid Kit is properly maintained and kept inaccessible to children. Emergency Drills are conducted monthly and are properly logged. Program provide meals. Program Coordinator stated that facility has a central kitchen where all meals are prepared and deliver to the site. Program Coordinator understands that at least one person trained in CPR and Pediatric First Aid shall be present when children are at the facility or at offsite activities. The name of the child care center Director or fully qualified teacher designated to act in the director's absence shall be reported to the Department within 10 days of a change.
Facility meets all Posting requirements; (License, parents rights, personal rights, menu, Emergency Disaster & Earthquake Preparedness Plan, Child Car Seat Law) were reviewed today. Staff files were review and Staff files records contain a health screening report.

INDOOR ACTIVITY SPACE:
In addition, the facility has requested an increase of capacity to the license from 48 to 64. Licensee is adding an additional classroom. The classroom is labeled “Al Tahoe Portable”. LPA measured the additional room, it is 594 square ft and will accommodate the additional 16 children that has been requested. There is a staff bathroom inside the classroom and one additional bathroom with 2 sinks and 2 toilets for children’s usage. LPA observed 18 cubbies for children's personal belongings. There are age appropriate toys and equipment. Classroom is equipped with napping equipment. Licensee will use cups and a water pitcher for the classroom. Program Coordinator understands that water must be accessible for children to drink at all times. The facility has a total of 8 toilets and 7 sinks and 5 urinals available for children usage. Classrooms C1 and C2 were previously measured on 10/25/04 and 07/19/06 with a total square footage of 1734.76. Total square footage of all classrooms is 2328.76 square ft which will accommodate the requested capacity of 64 children.

OUTDOOR ACTIVITY SPACE:
LPA remeasure play yard due to improvements. Upon re-measurement it was determined that playground measurement is 6853.92 allowing a capacity for 91 children. There are no drinking fountains outside. Program Coordinator stated that a water pitcher and cups are made available to children when they go outside to play. LPA observed shade provided by trees. Program Coordinator acknowledges when change of any type occurs to the play yard, facility will notify agency of the change.
Report continued on page 3..

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019

LIC809 (FAS) - (06/04)

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