313622382-4-21-2023-03-CC-MGAO-CR4QH6-20230421121037

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313622382
Report Date: 04/21/2023
Date Signed: 04/21/2023 12:10:46 PM

Document Has Been Signed on 04/21/2023 12:10 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	KIDS' PLACE INCORPORATED, THE (SA)		FACILITY NUMBER:	313622382
ADMINISTRATOR:	GAROFALO, JESSICA		FACILITY TYPE:	840
ADDRESS:	956 MEADOW GATE ROAD		TELEPHONE:	(530) 878-7875
CITY:	MEADOW VISTA	STATE: CA	ZIP CODE:	95722
CAPACITY:	14	CENSUS: 0	DATE:	04/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Jessica Garofalo		TIME COMPLETED:	12:20 PM

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At approximately 9:15am, Licensing Program Analyst (LPA) Matthew Gallo met with Director Jessica Garofalo for the purpose of an unannounced annual random inspection. Census included 0 school-aged children. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are 7am-6pm Facility offers transportation services.

LPA toured the building including all activity and classroom spaces, restrooms, food service and outdoor play areas. All necessary documents were posted. Director stated there were no poisons or firearms on site, and LPA did not observe any bodies of water. All toxic and hazardous items were inaccessible to children. Functional carbon dioxide detector and smoke detector were present. Furniture and equipment were in good condition, and the floors appeared clean throughout the facility. Playground equipment and surfaces were free of loose or sharp parts, and the areas underneath or around climbing equipment were sufficiently cushioned with wood chips. Program does not provide meal but does provide daily snacks. The food preparation space was free of litter and all food was protected against contamination. Drinking water was readily available to children both indoors and outdoors. Medication was properly stored and inaccessible to children.

3 Children's files were reviewed and observed to be complete. Review of staff records confirmed at least one staff member present today has current Pediatric CPR and First Aid certification and that all staff currently employed with the facility have a criminal record clearance, health screening report, documentation of the educational background, training, and/or experience, and valid AB1207 Manded Reporter Training certificates. Facility representative 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. LPA 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 10 working days.

Continued on 809-C

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Matthew Gallo	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KIDS' PLACE INCORPORATED, THE (SA)	FACILITY NUMBER: 313622382
	VISIT DATE: 04/21/2023

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Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding childcare updates, forms, regulations and legislation pertaining child care centers.

No deficiencies were cited during today’s inspection.

Exit interview conducted and report was reviewed with the facility representative Jessica Garofalo.Appeal rights and notice of site visit were provided, the latter of which must be posted for 30 days. Failure to follow posting requirements will result in an immediate $100 civil penalty.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Matthew Gallo	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC809 (FAS) - (06/04)

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