<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313606939
Report Date: 12/21/2020
Date Signed: 12/21/2020 12:51:14 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:SIERRA COLLEGE AUBURN STATE PRESCHOOLFACILITY NUMBER:
313606939
ADMINISTRATOR:JO ANN STOTESBERRYFACILITY TYPE:
850
ADDRESS:3050 BELL ROADTELEPHONE:
(530) 823-0380
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:72CENSUS: 0DATE:
12/21/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Teresa Dawson-Roberts TIME COMPLETED:
12:30 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
Due to COVID-19 Licensing Program Habtom (LPA) Habtom was unable to complete the case management visit to add the toddler option based on normal practice of an unannounced inspection. LPA Habtom conducted a tele-visit using facetime on December 21, 2020 at 12:00 pm with program manager Teresa Dawson-Roberts. No children were present during today’s visit.

Licensing Program Analysts (LPA) Lea Habtom met with Program Manager, Teresa Dawson-Roberts for the purpose of a case management inspection. Licensee has requested to add a toddler option to their preschool license by altering the capacity to include 24 toddlers (ages 18 to 36 months) and 48 preschool children. A fire clearance was granted on 12/02/2020 for a total of 24 toddlers and 48 preschool children.

The facility will serve 24 toddlers and 48 preschool children in the preschool portable room K1 on the Rock Creek Elementary School campus. The program operates Monday - Friday from 7:00am - 3:30pm during the Placer County Office of Education academic school year. The toddler option program is anticipated to begin around July 2021. No measurements were not taken today as measurements were taken during the case management visit on 10/27/2020.



The program manager understands that the provisions of Title 22 sections 101151 through 101239.2 shall apply for children over 24 months, in addition to health and safety section 1596.956. Section 101351 through 101439.1 shall apply to children between the ages of 18-24 months. Mats, cots, changing tables, and age appropriate furniture, equipment and toys have been ordered and should arrive shortly. There are 2 toilets suitable to toddlers connected to the classroom. There is sufficient storage for toddler’s individual belongings. LPA reviewed the ratio requirement of 1 to 6, maximum group size of 12 toddlers and that the toddler program must be conducted in areas separate from those used by younger or older children. Program manager understands that a qualified teacher with 3 infant units must be present with the toddlers.

Report continued on 809-C
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: SIERRA COLLEGE AUBURN STATE PRESCHOOL
FACILITY NUMBER: 313606939
VISIT DATE: 12/21/2020
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
26
27
28
29
30
31
32
The outdoor play area is fenced off from the preschool play area. Fencing will be included to close off the play area from the trees. The outdoor play area is not set up as funding is pending the license being approved. The play area is a piece of land which will be set up with toddler play equipment once license is granted and funding dispersed. LPA L. Habtom confirmed with LPM K. Peters that license can be issued without the indoor and outdoor space ready and available for toddlers in order to allow for funding to be provided. The program manager stated the measurements of the play structure is 26x50.

Effective today 12/21/2020, license is granted to serve 24 toddlers ages 18-36 months and 48 preschool children.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2