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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093616691
Report Date: 01/27/2020
Date Signed: 01/28/2020 11:46:39 AM

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:TAHOE CENTERFACILITY NUMBER:
093616691
ADMINISTRATOR:SLATER/LOORZFACILITY TYPE:
850
ADDRESS:1286 KYBURZ AVENUETELEPHONE:
(530) 543-8242
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:30CENSUS: 14DATE:
01/27/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Deirdre SlaterTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Michelle Pascual met with Site Supervisor, Deirdre Slater , for an unannounced annual random inspection. Upon arrival fourteen (14) children were present. The center operates from 08:45am to 3:15pm Monday through Friday, according to EDCOE. The facility provides breakfast, lunch, and a snack.

LPA toured the facility inside and out for a health and safety inspection. PHYSICAL PLANT-The facility appeared orderly and suitable for children. Cleaning supplies and hazardous items were inaccessible to children. Medications are stored in a safe place inaccessible to children in care. Outdoor activity space and equipment was in good repair. Uncontaminated drinking water is available both indoors and outside. LPA observed a first aid kit. LPA observed that solid waste bins had tight-fitting covers on and were in good repair. Facility has license, parents’ rights, emergency evacuation, and car seat safety posted. EVALUATION OF CARE AND SUPERVISION- Visual supervision was observed during the visit. Capacity and ratio requirements were being met. FACILITY RECORDS REVIEW- Children’s records included admission agreements and all required documents. Staff records were fully complete with a current CPR/First aid. Expiration of CPR for classroom teacher is 08/21 and Mandatory Reporter Training expires 04/21. Staff records contain appropriate documentation of education credits.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: TAHOE CENTER
FACILITY NUMBER: 093616691
VISIT DATE: 01/27/2020
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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 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 licensee. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Site Supervisor was encouraged to the visit the department’s website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. Appeal rights were reviewed and provided.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2