313622152-11-19-2021-03-CC-JMCN-C8WUA4-20211119142407

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313622152
Report Date: 11/19/2021
Date Signed: 11/19/2021 02:24:18 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:	LITTLE SUNSHINE'S PLAYHOUSE & PS - GRANITE BAY		FACILITY NUMBER:	313622152
ADMINISTRATOR:	KRISTEN STABILE		FACILITY TYPE:	830
ADDRESS:	5370 DOUGLAS BLVD		TELEPHONE:	(916) 605-0217
CITY:	GRANITE BAY	STATE: CA	ZIP CODE:	95746
CAPACITY:	48	CENSUS: 27	DATE:	11/19/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Tracey Willey		TIME COMPLETED:	02:30 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 11/19/2021, Licensing Program Analyst (LPA) Jeremey McClain met with Licensing Representative Tracey Willey for the purpose of an unannounced annual random inspection. LPA observed seven infants observed by two teachers, eight toddlers supervised by two teachers, and 12 toddlers supervised by two teachers in separate rooms.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are stored in a central location. 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. Infant changing tables have a padded surface that is washable and at least one-inch-thick, and the changing tables have raised sides that are at least three inches high. 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 breakfast, lunch, and snack. 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, a medical assessment, and Infant Needs and Services Plan. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 8/2023). All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experienceLPA observed functional smoke and carbon monoxide detectors.

LPA reminded the Assistant Director that the AB1207 Mandated Reporter Training must be renewed once every two years. LPA provided the website for staff to complete the training at http://childcare.mandatedreporterca.com/

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: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

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 3

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: LITTLE SUNSHINE'S PLAYHOUSE & PS - GRANITE BAY	FACILITY NUMBER: 313622152
	VISIT DATE: 11/19/2021

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 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.

An exit interview was conducted and in the areas that were evaluated, Deficiencies were observed. Deficiencies are cited on the 809-D page, and if not corrected, pose a potential threat to the health and safety of children in care.

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

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LITTLE SUNSHINE'S PLAYHOUSE & PS - GRANITE BAY	FACILITY NUMBER: 313622152
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/19/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, as Staff #1 did not have current completion of the required Mandated Reporter Training, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/10/2021
	Plan of Correction
1 2 3 4	Staff will renew the required Mandated Reporter training and submit proof to LPA by the POC due date of 12/10/2021.

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: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3