313608538-3-30-2022-03-CC-BMOS-CCZQFA-20220330120738

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313608538
Report Date: 03/30/2022
Date Signed: 03/30/2022 12:07:44 PM

Document Has Been Signed on 03/30/2022 12:07 PM - 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	HUGS-N-SMILES PRESCHOOL AND DAYCARE		FACILITY NUMBER:	313608538
ADMINISTRATOR:	ADE, BERNADETTE		FACILITY TYPE:	850
ADDRESS:	1273 HIGH STREET		TELEPHONE:	(530) 823-6385
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	30	CENSUS: 12	DATE:	03/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Bernadette Ade - Director Asked/Recorded by LPA L Habtom		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	On March 30, 2022 at 9:30 am, Licensing Program Analysts (LPA) Blake Morillas and Lea Habtom met with the Director, Bernadette Ade, for the purpose of an unannounced Annual Required inspection. At 9:40 am there were 12 preschool age children supervised by 1 staff, Misty Barton, and the director. Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Operating hours are 7 am- 6 pm, Monday through Friday. The facility operates year around. At 9:45 am, LPA initiated a health and safety inspection of all indoor areas accessible to children. LPA observed that hazardous items (disinfectants, cleaning solutions, etc.) were inaccessible to children in care. LPA inspected the food service area and observed that the food products appeared to be protected against contamination. Menus were posted. LPA reviewed care and supervision of children, staffing ratios, health related services (including medications and first aid supplies), furniture, equipment. LPA observed all required forms to be posted. Sign/in-sign/out sheet were reviewed. Children bring water bottles and drinking water is readily accessible to children in care. A water fountain is located outside near the swing set for outdoor water. LPA observed sinks and toilets to be operable. There are adequate toys, equipment, and supplies available for the children. At 9:55 am, LPA inspected the outdoor play area and observed adequate cushioning material and play equipment to be in safe condition. Shaded areas are also available. *Continued on LIC 809-C

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake Morillas	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

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: HUGS-N-SMILES PRESCHOOL AND DAYCARE	FACILITY NUMBER: 313608538
	VISIT DATE: 03/30/2022

NARRATIVE

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At 10:10 am, LPA began to review children’s and staff's files. 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 water-lead testing guidelines as well as current Covid-19 guidelines.

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

Incidental Medical Services (IMS) policy was discussed. Director does not have any children who are on medication. 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

Deficiencies are cited on the subsequent page of this report (LIS 809-D) under the California Code of Regulations, Title 22 of the California Health and Safety Code.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Bernadette Ade.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake Morillas	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 03/30/2022 12:07 PM - It Cannot Be Edited

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: HUGS-N-SMILES PRESCHOOL AND DAYCARE	FACILITY NUMBER: 313608538
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/30/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the Director did not comply with the section cited above in one out of two staff files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/29/2022
	Plan of Correction
1 2 3 4	Director agreed to make a copy of the missing immunization records, send a copy to LPA L. Habtom & keep a copy at the facility.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake Morillas	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC809 (FAS) - (06/04)

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