093623643-8-14-2020-03-CC-SDLA-BSGQQR-20200814122247

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093623643
Report Date: 08/14/2020
Date Signed: 08/14/2020 12:22:57 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:	COOL LEARNING CENTER		FACILITY NUMBER:	093623643
ADMINISTRATOR:	WILSON, KELLEY		FACILITY TYPE:	840
ADDRESS:	2968 HWY 49 SUITE D		TELEPHONE:	(832) 340-4905
CITY:	COOL	STATE: CA	ZIP CODE:	95614
CAPACITY:	14	CENSUS: 0	DATE:	08/14/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Kelley Wilson		TIME COMPLETED:	10:30 AM

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	Application Specialist (AS) Seychelle De Luca met with Applicant Kelley Wilson for the purpose of an announced prelicensing change of ownership tele-inspection (due to COVID-19). Applicant requests a school-age license to serve 14 school-age children enrolled in first grade and above. The program will operate Monday through Friday from 7:00 AM to 6:00 PM. The fire clearance was received on 7/29/2020. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat law, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. The facility will be providing morning and afternoon snacks; and parents provide lunch. INDOOR ACTIVITY SPACE: Applicant requests to use one classroom. AS observed a sufficient amount of equipment, tables, chairs, and cubbies/hooks. There is a first aid kit in the bathroom. Medications will be stored in the bathroom in a locked cabinet. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Poisons are in a locked cabinet. Applicant stated there are no firearms on the premises. AS observed a water dispenser and cups in the classrooms. Children will bring water bottles, as well. AS observed a functional carbon monoxide detector in the classroom. AS observed a paper sign-in/sign-out system. Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2020

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: COOL LEARNING CENTER	FACILITY NUMBER: 093623643
	VISIT DATE: 08/14/2020

NARRATIVE

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Applicant measured the classroom; AS walked her through the measuring process. The total classroom space contains a total of 562.8793 square feet, which accommodates Applicant's request for 14 school-age children. There is one toilet and one sink for children. There is a separate private restroom for the staff. Children who become ill during the day will be isolated in the front of the classroom and will use the staff restroom, if necessary. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. The outdoor play area is fenced with a wooden fence that is at least four feet tall. Part of the outdoor space is fenced with a white picket fence that is less than four feet tall. AS observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by a tree and overhang.

Applicant measured the outdoor activity space; AS walked her through the measuring process. The outdoor school-age yard contains a total of 1492.418 square feet, which accommodates Applicant's request for 14 school-age children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

The facility's Plan of Operation is located in the file. Incidental Medical Services and a Plan of Operation is located in the facility file. 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.

Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2020

LIC809 (FAS) - (06/04)

Page: 2 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: COOL LEARNING CENTER	FACILITY NUMBER: 093623643
	VISIT DATE: 08/14/2020

NARRATIVE

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AS discussed the following: supervision; personal rights; criminal record clearances; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

AS emailed a copy of the 809 to Applicant. Applicant understands she must read the report and send AS an email stating she received, read, and understands today’s report. AS also provided LIC311A and Effects of Lead Exposure brochure.

CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:

1. Final approval by Licensing Program Manager (LPM) Bettina Engelman.
2. Verification that the white picket fence is four feet tall.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2020

LIC809 (FAS) - (06/04)

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