255406700-8-3-2022-13-CC-LVIS-CGXLMR-20220803085307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 255406700
Report Date: 03/10/2020
Date Signed: 08/03/2022 08:53:17 AM

Document Has Been Signed on 08/03/2022 08:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	QCS NEWELL CHILD DEVELOPMENT CTR - INFANT		FACILITY NUMBER:	255406700
ADMINISTRATOR:	CARDENAS, LUZ ELENA		FACILITY TYPE:	830
ADDRESS:	501 DUNSMUIR ST		TELEPHONE:	(530) 664-2349
CITY:	TULELAKE	STATE: CA	ZIP CODE:	96134
CAPACITY:	12	CENSUS: 5	DATE:	03/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Administrator Luz Elena Cardenas		TIME COMPLETED:	04:15 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	Licensing Program Analyst (LPA), David Wilson arrived at this facility for Required - 1 Year inspection. 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. This facility is part of a combination center with a separate preschool license with toddler component. This is a seasonal program, open approximately March through October. Operating hours are generally 5:30am - 7:00pm, depending on parent needs. The facility was toured inside and outside and the floor and yard plan were verified. Activity space for infants is separate from other age groups. The items which could pose a danger to children (sharps, cleaners, items that may be swallowed) were inaccessible to children. The director stated that poisons are not stored on site and none were observed during the inspection. The facility was free of flies, insects and rodents. The toys, floors, and other equipment and surfaces appeared clean and safe for infants, and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The infant changing tables have at least 3" sides and sanitary vinyl pads that are at least 1" thick. There was sufficient napping equipment (cribs and mats) available that meet requirements. A current menu was posted. Food prep areas are clean. Infant formula is provided by this facility and all children as applicable have individual labeled bottles to drink from. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. There were no bodies of water observed. The licensee stated no weapons are stored on site and none were observed. During today's inspection, infant staffing ratios were being met as there was five children being supervised by three teachers/aides. All five children were being directly supervised including maintaining constant visual supervision. The facility was operating within the licensed capacity. At least one staff member present possessed CPR and First Aid certifications that expire 05/19/20. Staff have completed Mandated Reporter Training. Sign in/out requirements were in sufficient compliance. Three children’s and three staff records were reviewed and in sufficient compliance. CONTINUED ON NEXT PAGE...

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: QCS NEWELL CHILD DEVELOPMENT CTR - INFANT	FACILITY NUMBER: 255406700
	VISIT DATE: 03/10/2020

NARRATIVE

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This facility is not providing Incidental Medical Services – IMS. IMS policy was discussed to include that no IMS treatments are to be administered by staff unless there is an IMS plan submitted and approved by this 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: www.ada.gov/childqanda.htm.

This report, as well as the American Academy Pediatrics Guide to Safe Sleep practices brochure, were reviewed and discussed with Administrator Luz Elena Cardenas.

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: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

LIC809 (FAS) - (06/04)

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