325407953-7-30-2021-13-CC-SHUD-C5EUTR-20210730155222

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 325407953
Report Date: 07/30/2021
Date Signed: 07/30/2021 03:52:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	PDH CHILD CARE CENTER INFANT		FACILITY NUMBER:	325407953
ADMINISTRATOR:	ALLI RAMELLI		FACILITY TYPE:	830
ADDRESS:	1018 VALLEY VIEW DRIVE		TELEPHONE:	(530) 283-7186
CITY:	QUINCY	STATE: CA	ZIP CODE:	95971
CAPACITY:	5	CENSUS: 0	DATE:	07/30/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Alli Ramelli, Director		TIME COMPLETED:	01:15 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	The facility pre-licensing inspection was conducted on 7/30/21 at 12:15 PM via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst (LPA), Sandy Husband. The Department received an application for a change of location on 6/23/21 for an infant license requesting a capacity of 5 infants which is a combination facility with a separate preschool license. The facility was toured inside and outside. The center will operate from 8 AM to 4 PM, M-F. The infant facility consists of 1 classroom serving ages 0-24 months. The fire clearance was approved on 6/23/21 for 5 infants and was received in the Chico Regional office on 7/19/21. The indoor capacity measured for 4 infants and the outdoor yard area measured for 51 infants. Based on indoor measurements the infant license is approved for a capacity of 4 infants. Required postings (Parents Personal Rights, Emergency Disaster Plan, Earthquake Preparedness Checklist, Menu, etc.) listed on Form LIC 311A will be posted. The applicant was advised that all staff are required to have a criminal background clearance on file with Community Care Licensing (CCL). The applicant is aware of the immediate $100 per day civil penalty for anyone providing care or supervision without a criminal record clearance. The Director has been granted an exception as of 7/30/21. The applicant will maintain current on Pediatric CPR and First Aid which expires on 2/13/23 as well as Mandated Reporter Training which expires 1/6/23. The applicant has a valid Preventive Health Practices course and will be taking the lead training on 7/31/21. Children will use the fenced outdoor play area. Sign-In/Out procedures were reviewed. There are separate entrances for each classroom where health checks will be conducted. The applicant/director understands that if a manual Sign-In/Out procedure is used, full legal signatures are required. Cubbies are available for children to use. There are pull fire alarms, a working carbon monoxide detector and charged fire extinguisher in the facility rated at least the 2A10BC. All Exits are marked. There is one staff bathroom, which is separate. There is uncontaminated drinking water available to children both indoors and outdoors via individual water bottles that will be brought from home and refills are provided via water dispensers. The isolation room is established in the Director's office near the (Continued on LIC 809-C)

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: PDH CHILD CARE CENTER INFANT	FACILITY NUMBER: 325407953
	VISIT DATE: 07/30/2021

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

(Continued from LIC 809)
front near the toddler entrance. Infant children will nap in cribs. Families will provide AM/PM snack and a lunch daily and will not be prepared on site. Bottles are provided by child's authorized representative and will be washed and sanitized with a 3-step process in between each use. Bottles will be labeled and stored separately in the refrigerator in the classroom. . Needs and Services plan will be updated every quarter. For infants under the age of 12 months, the LIC 9227 form is required to have on file.

Age appropriate toys and activities are available for children. There is a waiver on file dated 7/30/21 for the infants to share the play yard with the toddler component and each program will use the yard at separate times. There is grass and wood chip cushioning material underneath the play structures sufficient to absorb falls. There are large trees present to provide shade in the play yard. There are no bodies of water located on the property and none are to be added without prior notification and approval of the licensing agency. 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. This report, as well as the Guide to Safe Sleep Practices brochure and Lead Exposure Testing Flyer, were reviewed and discussed with the applicant/director. All licensing reports are public information and must be made available upon request for at least three years. Based on the indoor measurement, the facility is approved for a capacity of 4 infants.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

Notice of Site Visit shall be posted for 30 days from today's visit.

The following items must be submitted prior to licensure:

1. Proof of the director's enrollment in the lead training course.
2. Photos of a 4 feet portable wall used as a barrier between the infant nap room and play room.

A 90-day provisional license shall be granted upon submission of the above items. The provisional license cannot be extended. Prior to granting a regular license, the applicant shall provide proof of Preventative certification to complete the requirement for current Preventative Health Practices.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2