173009608-3-5-2020-01-CC-NCUM-BMEVPJ-20200305153648

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 173009608
Report Date: 03/05/2020
Date Signed: 03/05/2020 03:36:54 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME:	NCO HEAD START CDC-LAKEPORT CENTER		FACILITY NUMBER:	173009608
ADMINISTRATOR:	GARCIA, LETICIA		FACILITY TYPE:	850
ADDRESS:	864 & 868 LAKEPORT BLVD		TELEPHONE:	(707) 263-8213
CITY:	LAKEPORT	STATE: CA	ZIP CODE:	95453
CAPACITY:	20	CENSUS: 0	DATE:	03/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Leticia Gacia, Site Supervisor		TIME COMPLETED:	03:50 PM

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	An unannounced inspection was made to the facility by Licensing Program Analyst (LPA) N. Cunningham. The facility file was reviewed prior to this inspection. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility has a centralized fingerprint file for the chain of facilities. Staff are associated to NCO Head Start - No. Ukiah, 230111843. The facility’s operating hours are 8:00 a.m. – 2:00 p.m. Monday – Friday, ten months out of the year. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. Director stated there are no poisons in the facility, and none were observed during this inspection. The toys, floors, desks and other equipment and surfaces are clean, safe, and in good condition. There is drinking water available to children both indoors and outdoors by use of water fountains on the playground and in the classroom. The children's bathroom is in safe and sanitary condition. The facility serves breakfast and and lunch. LPA observed a menu posted. Food was observed to be properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. Continued on LIC 809-C.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: NCO HEAD START CDC-LAKEPORT CENTER	FACILITY NUMBER: 173009608
	VISIT DATE: 03/05/2020

NARRATIVE

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Continued from LIC 809.

LPA observed a working carbon monoxide detector in the facility. Fire drills are conducted monthly; the last drill was conducted on 02/26/20. The playground equipment and surface areas were in safe condition. There is rubber cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed on the site. Director stated no weapons are stored on site, and none were observed. Five children’s records were reviewed at 2:50 p.m. and contained signed admission agreements and Consent for Medical Treatment. Two staff records were reviewed at 3:20 p.m. and contained documentation of education and training as required.

This facility is not currently providing Incidental Medical Services (IMS). The Department’s IMS policy was discussed with the Site Supervisor. 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: www.ada.gov/childqanda.htm.

This report, as well as the AAP Guide to Safe Sleep Practices and The Effects of Lead Exposure brochures, were reviewed and discussed with the director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

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