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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293611710
Report Date: 01/07/2020
Date Signed: 01/07/2020 11:10:58 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:ANANDA LIVING WISDOM SCHOOL PRE-SCHOOLFACILITY NUMBER:
293611710
ADMINISTRATOR:MOORHOUSE, TOBYFACILITY TYPE:
850
ADDRESS:14618 TYLER FOOTE ROADTELEPHONE:
(530) 478-7640
CITY:NEVADA CITYSTATE: CAZIP CODE:
95959
CAPACITY:12CENSUS: 8DATE:
01/07/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Toby MoorhouseTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Blake Morillas met with the Director, Toby Moorhouse, for the purpose of an unannounced Annual/Random inspection. Today’s census was 8 preschool age children.

The facility operates a half day program with hours from 8:30am to 12:30pm, Monday through Friday. The facility does not provide snacks or meals to children in care (waver on file and posted at the facility).

LPA observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care.

LPA reviewed care and supervision of children, staffing ratios, health related services (including medications and first aid supplies), furniture, equipment, and fire drills logs. Drinking water is readily accessible to children in care.

LPA observed sinks, and toilets to be operable. There are adequate toys, equipment, and supplies available for the children.

LPA inspected the outdoor play area and observed equipment to be in safe condition, with adequate cushioning material. Shaded areas are also available.

LPA observed all required forms to be posted. First aid supplies were also available. LPA reviewed the sign/in-sign/out sheet and reviewed children’s and staff's files.

*Continued on LIC 809-C
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake MorillasTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
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: ANANDA LIVING WISDOM SCHOOL PRE-SCHOOL
FACILITY NUMBER: 293611710
VISIT DATE: 01/07/2020
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*Continuation of LIC 809

All staff currently employed with the facility have criminal record clearances, health screening reports with TB test, and Mandated Reporter training. At least one staff member present today has current Pediatric CPR and First Aid.

LPA provided and discussed the Safe Sleep in Child Care and Lead Testing brochures (AB 2370).

LPA provided the Licensing Agency website (www.ccld.ca.gov), so the Director may obtain updated licensing information, regulations, and forms.



Incidental Medical Services (IMS) policy was discussed. 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

In the areas that were evaluated, no deficiencies were cited during the visit.



Report was reviewed with the Director and an exit interview was conducted.

Notice of Site Visit posted.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake MorillasTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
LIC809 (FAS) - (06/04)
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