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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313620674
Report Date: 12/10/2020
Date Signed: 12/10/2020 02:08:59 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:CARLIN C. COPPIN ELEMENTARY PSFACILITY NUMBER:
313620674
ADMINISTRATOR:QUINN, LAREEFACILITY TYPE:
850
ADDRESS:150 EAST 12TH STREETTELEPHONE:
(530) 745-1380
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:24CENSUS: 0DATE:
12/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Teresa Dawson RobertsTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Amanda Blesi 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. Facility is requesting to serve under a Toddler Option exclusively at this time. The inspection today was conducted via Facetime video due to COVID-19. A fire clearance was granted on 12/04/2020 for a total of 24 preschool/toddlers ages 18-36 months.

The facility will serve 24 toddlers in the preschool portable on the Carlin C. Coppin Elementary School campus. The program operates Monday - Friday from 8:00am - 3:30pm during the Placer County Office of Education academic school year. The preschool portable was previously measured and approved for 24 preschool children during the pre-licensing inspection on 08/14/2015, therefore, no measurements were taken during today's inspection.

The director 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 and cots, changing tables, and age appropriate furniture, equipment and toys have been ordered and should arrive shortly. 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. Director understands that a qualified teacher with 3 infant units must be present with the toddlers.

Effective today 12/10/2020, license is granted to serve 24 toddlers ages 18-36 months under a Toddler Option Program.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2020
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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