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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093616106
Report Date: 08/08/2019
Date Signed: 08/08/2019 01:27:25 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:ADVENTURE BEGINS, THEFACILITY NUMBER:
093616106
ADMINISTRATOR:OCAMPO, JAIMEFACILITY TYPE:
850
ADDRESS:3841 PONDEROSA ROADTELEPHONE:
(530) 676-4415
CITY:SHINGLE SPRINGSSTATE: CAZIP CODE:
95682
CAPACITY:35CENSUS: 22DATE:
08/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Nadine Bentovoja-JeffordTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Jan Hoshida, conducted an unannounced random annual inspection today. LPA met with Assistant Director, Nadine Bentovoja-Jefford. Upon arrival, there were 22 children with three staff. A tour of the facility was conducted inside and outside. The following areas are in compliance during the visit. There are no bodies of water. Firearms and ammunition are not on the premises. Storage for poisons are locked. Disinfectants, hazardous items and medications are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted and documented. The playground equipment and outdoor activity space is maintained and in good condition. Wood chips and sand are being used as cushioning around the climbing equipment and level is sufficient to absorb a fall. Children's toilets, hand washing facilities are sanitary. Floors are clean and free of debris. Food preparation area is clean. Drinking water is available both indoors and outside. Menus are posted. The facility is in compliance with conditions and limitations specified on the license. Sign in/sign out sheets are maintained. No excluded individuals are present. Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance. Emergency information reviewed for five children. Some staff records were reviewed.

LPA inspected the refrigerator and three food cabinet areas and observed that there were several food items in each area that were expired. In addition, LPA observed that the facility did not label or date open food containers. This poses a potential risk to the health and safety to the children in care. Assistant Director recognized that all food shall be protected against contamination and contaminated food shall be discarded immediately. Assistant Director threw away contaminated and expired food during the visit.

This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section
REPORT CONTINUED ON NEXT PAGE
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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 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: ADVENTURE BEGINS, THE
FACILITY NUMBER: 093616106
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2019
Section Cited
CCR
101226(e)(3)(A)
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Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement was not met by: LPA inspected the medication at the center and observed that the Albuterol inhaler for Child #1 expired in February 2019
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Assistant Director stated that she will return the expired medication to parents by POC due date of 9/6/2019 and will request and obtain new medication if needed.
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and epinephrine injection medication for Child #2 expired in April 2017.

This poses a potential risk to the health and safety of the children in care.
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Type B
09/09/2019
Section Cited
CCR
101227(19)
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Food Services: All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement was not met by: LPA inspected the refrigerator and three food cabinet areas and observed that there were several food items in each area that were expired.
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Assistant Director threw away all expired food and labeled all opened food. She stated she will train her staff to label all food after opening and to ensure its in a air-tight container. Assistant Director stated that she will submit proof of staff food training by POC due date of 9/9/2019.
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In addition, LPA observed that the facility did not label or date open food containers.

This poses a potential risk to the health and safety to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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: ADVENTURE BEGINS, THE
FACILITY NUMBER: 093616106
VISIT DATE: 08/08/2019
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102417. When any IMS is provided, a Plan for Providing 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 inspected the medication at the center and observed that the Albuterol inhaler for Child #1 expired in February 2019 and epinephrine injection medication for Child #2 expired in April 2017. This poses a potential risk to the health and safety to the children in care.

LPA discussed the new Mandated Reporter Training with licensee. Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. In addition, existing licensees must meet requirements by March 30, 2018. This training requirement may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. The training is currently provided in English.

LPA checked facilities fees and confirmed that it is up to date.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised licensee of their responsibility to stay current in regards to new regulations. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

In the areas that were evaluated, deficiencies were observed at the time of the visit and cited on LIC 809-D. An exit interview was conducted and report was reviewed with Assistant Director who stated she understands today’s inspection. Notice of Site Visit posted and understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3