313623793-2-3-2021-03-CC-SDLA-BXVQQ6-20210203112150

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313623793
Report Date: 02/03/2021
Date Signed: 02/03/2021 11:21:58 AM

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:	KIDZCOMMUNITY EARLY LEARNING CENTER, NORTH GRANT		FACILITY NUMBER:	313623793
ADMINISTRATOR:	HALEY DOUCETTE		FACILITY TYPE:	850
ADDRESS:	201 NORTH GRANT ST		TELEPHONE:	(916) 918-2956
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95678
CAPACITY:	24	CENSUS: 0	DATE:	02/03/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Gillian Rowe		TIME COMPLETED:	11:00 AM

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	Application Specialist (AS) Seychelle De Luca and Licensing Program Analysts (LPAs) Katrina Owens and Alize Tillery met with Applicant Gillian Rowe for the purpose of an announced prelicensing tele-inspection (due to COVID-19). Applicant requests a preschool license to serve 24 preschool children from age two to entry into kindergarten. The program will operate Monday through Friday from 8:30 AM to 2:30 PM. The fire clearance was granted on 12/14/2020. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat law, Effects of Lead Exposure brochure, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. The facility will provide breakfast, lunch, and afternoon snack. There is a kitchen in the classroom; however, Applicant stated all food will be delivered. INDOOR ACTIVITY SPACE: There is one classroom. AS and LPAs observed a sufficient amount of equipment, toys, tables, chairs, and cubbies. There is a first aid kit in the classroom that is located near the front door. AS and LPAs observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated IMS medications will be stored with the first aid kit in the classroom and all other medications will be stored in the office. Applicant stated there are no poisons or firearms on the premises. AS and LPAs observed water pitchers and cups in the classroom. AS and LPAs observed two carbon monoxide detectors: one near the kitchen and one on the classroom wall. Applicant stated the facility will use a paper sign-in/sign-out system. Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

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: KIDZCOMMUNITY EARLY LEARNING CENTER, NORTH GRANT	FACILITY NUMBER: 313623793
	VISIT DATE: 02/03/2021

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

Applicant measured the classroom; and AS walked her through the measuring process. The total classroom space contains a total of 1099.313 square feet, which accommodates the request for 24 preschool children. There are two toilets and four sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor play area. The play space is surrounded by wrought iron and wooden fences that are at least four feet tall. AS and LPAs observed a sufficient amount of equipment and toys. There are shaded areas supplied by a shade structure and trees. Applicant acknowledges staff must ensure children use age-appropriate equipment at all times. Applicant stated the swing set is anchored into the ground.

Applicant measured the outdoor space; and AS walked her through the measuring process. The outdoor play area contains a total of 4713.238 square feet, which accommodates Applicant's request for 24 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

The facility's Plan of Operation is located in the Administrative file. Incidental Medical Services (IMS) policy was discussed. 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.

Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

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: KIDZCOMMUNITY EARLY LEARNING CENTER, NORTH GRANT	FACILITY NUMBER: 313623793
	VISIT DATE: 02/03/2021

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

AS discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; criminal record clearances, inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds.

AS discussed with Applicant any changes that may occur regarding the directors or an employee acting in the director's absence must be reported to department within 10 working days.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

This facility evaluation report was reviewed and discussed with Applicant. AS emailed a copy of the 809 to Applicant. Applicant understands she must reply that she received, read, and understands the report. AS provided LIC311A, Effects of Lead Exposure brochure, and immunization card.

CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:
1. A final review of the file by Licensing Program Manager (LPM) Keven Peters.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3