313600445-8-16-2019-03-CC-JMCN-BF4L2U-20190816082255

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313600445
Report Date: 08/16/2019
Date Signed: 08/16/2019 08:23:05 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:	GREENHILLS S.T.A.R.		FACILITY NUMBER:	313600445
ADMINISTRATOR:	ERIKA GOMEZ		FACILITY TYPE:	840
ADDRESS:	8200 GREENHILLS WY		TELEPHONE:	(916) 791-8448
CITY:	GRANITE BAY	STATE: CA	ZIP CODE:	95746
CAPACITY:	300	CENSUS: 12	DATE:	08/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:00 AM
MET WITH:	Sasha Mendenhall		TIME COMPLETED:	08:45 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	Licensing Program Analyst (LPA) Jeremey McClain met with Program Administrator Michelle Brashier for the purpose of an unannounced annual random inspection. LPA also followed up on an Unusual Incident Report that was submitted via fax on 07/30/2019. 12 children were supervised by two staff members during today’s inspection. The program operates in the morning from 6:30 AM-8:15 AM, and in the afternoon from 1:45 PM-6:30 PM, Monday through Friday. LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are appropriately stored and inaccessible to children. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Program provides afternoon snacks. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPA observed full legal signatures while reviewing the sign in and sign out sheet. Staff and children's records were reviewed. Each child's file contained an emergency card. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 02/2020). All staff currently employed with the facility has a criminal record clearance, health screening report, AB 1207 Mandated Reporter training certificates, and documentation of the educational background, training, and/or experience. LPAs reviewed the Department's inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days. REPORT CONTINUED ON THE FOLLOWING PAGE.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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: GREENHILLS S.T.A.R.	FACILITY NUMBER: 313600445
	VISIT DATE: 08/16/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed and services are provided. There is a plan of operation in place for children with Epinephrine Pens. LPA reminded Program administrator to complete a plan of operation for children with prescribed inhalers as well. 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.

LPA encouraged the Program Administrator to the visit the department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

LPA spoke with the Program Administrator regarding the incident that occurred on 07/26/2019, in which a child was injured after falling from a play structure. LPA observed the area on the playground where the accident occurred to assess risks.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC809 (FAS) - (06/04)

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