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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093614599
Report Date: 12/08/2022
Date Signed: 12/08/2022 10:13:26 AM

Document Has Been Signed on 12/08/2022 10:13 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:WILLIAM BROOKS PRESCHOOLFACILITY NUMBER:
093614599
ADMINISTRATOR:KERSEY, NADIAFACILITY TYPE:
850
ADDRESS:3610 PARK DRIVETELEPHONE:
(530) 622-7130
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
12/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rachel Devai TIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Soleil Marx and Licensing Program Manager (LPM) Natalie Dunaway met with Lead Teacher, Rachel Devai, to conduct an unannounced random annual inspection today. A tour of the facility was conducted inside and outside. This is a State Preschool Program operating Monday-Friday 8:30am-12:00 pm and located in room #25. This program is an inclusion program combining special education and state preschool. The state preschool program follows Title 5 regulations. During today’s inspection, there were 18 preschool age children with 4 staff.

LPA inspected all activity and classroom spaces, 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. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Menus were posted for AM snack, which is provided by the facility. Drinking water was readily available to children both indoors and outdoors. Medications are appropriately stored and inaccessible to children. Facility uses full legal signatures for sign in/sign out records. LPA reviewed fire drill log, last drill was 09/2022.

Children records were reviewed, it was observed that each child's file contained appropriate 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 11/2023. 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 (exp 08/2023), and documentation of their educational background, training, and/or experience. (1/2)

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: WILLIAM BROOKS PRESCHOOL
FACILITY NUMBER: 093614599
VISIT DATE: 12/08/2022
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Incidental Medical Services (IMS) policy was discussed. The facility is currently providing IMS and has a plan of operation in place. 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.

NO TITLE 22 DEFICIENCIES ARE BEING CITED



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

A Notice of Site Visit was provided and must remain posted for 30 days. (2/2)
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
LIC809 (FAS) - (06/04)
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