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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093620102
Report Date: 12/12/2019
Date Signed: 12/16/2019 09:16:56 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:GIFT OF KIDS, INC., THEFACILITY NUMBER:
093620102
ADMINISTRATOR:KELLY, JENNIFERFACILITY TYPE:
840
ADDRESS:5130 GOLDEN FOOTHILL PARKWAYTELEPHONE:
(916) 521-1835
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:28CENSUS: 0DATE:
12/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:TIME COMPLETED:
02:45 PM
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Licensing Program Manager (LPM) Bettina Engelman and Licensing Program Analyst (LPA) Michelle Pascual met with Owner/Directo, Jennifer Tommasini for the purpose of an unannounced annual random inspection. Zero (0) children and two staff were present upon arrival. The program operates in room #5 Monday, Tuesday, Thursday and Friday 6:30am – 7:30am and 1:30pm – 6:00pm, Wednesday 6:30am – 7:30am and 1:30pm- 6:00pm. When school is not in session, kindergarten and above will have exclusive use of the classroom.

LPA toured the facility inside and out for a health and safety inspection. PHYSICAL PLANT-The facility appeared orderly and suitable for children. All toxic and hazardous items are stored on a high shelf. Outdoor activity space and equipment was in good repair. Restrooms were sanitary and in operating condition. Food preparation and storage areas were kept clean. Storage containers for solid waste had lids. Drinking water was readily available inside and outside. FACILITY ADMINISTRATION- All staff present today had criminal background check clearances and/or exemptions. Current CPR and first aid certification was verified. Sign-In sheets are maintained. EVALUATION OF CARE AND SUPERVISION- No school-age children were present at the time of the inspection. FACILITY RECORDS REVIEW- LPA observed separate, complete and current records for each child enrolled. Staff files contained health screenings and documentation of immunizations to meet SB 792. The center provides snacks, and menus were posted and visible.

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

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
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 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: GIFT OF KIDS, INC., THE
FACILITY NUMBER: 093620102
VISIT DATE: 12/12/2019
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Incidental Medical Services (IMS) policy was discussed. 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

NO DEFICIENCY was observed in the areas that were evaluated today.

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

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
LIC809 (FAS) - (06/04)
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