340302706-11-8-2019-03-CC-RPIS-BHQU5Q-20191108141706

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340302706
Report Date: 11/08/2019
Date Signed: 11/08/2019 02:17:16 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:	TRINITY TOTS		FACILITY NUMBER:	340302706
ADMINISTRATOR:	DONNA FRANK		FACILITY TYPE:	850
ADDRESS:	5225 HILLSDALE BLVD.		TELEPHONE:	(916) 331-7377
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95842
CAPACITY:	153	CENSUS: 23	DATE:	11/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Sandra Anderson		TIME COMPLETED:	02:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Rosie Pitts met with Director Sandra Anderson for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations, and capacity specified on the license. Upon arrival LPA observed 12 preschool children being supervised by 2 staff in the 2's and 3's class, and 11 preschool children being supervised by 1 staff in the 4's and 5's class. All staff currently at the facility have criminal record clearances. Facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM.

LPA toured all activity and classroom spaces, restrooms, food service, and outdoor play areas. LPA reviewed storage of medication and checked the expiration dates, Director stated there are no poisons on the premises. 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. The areas around or under climbing equipment are cushioned with bark to absorb the fall. Toileting facilities are in safe, sanitary, and operating condition. LPA observed sufficient napping equipment. The floors appeared clean throughout the facility. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste did not have lids. Program provides milk and snack and parents provide lunch. Menus were posted and drinking water was readily available to children both indoors and outdoors. Facility utilizes a classroom roster for manual sign in and out. LPA reminded Director that 100% supervision is required at all times, including in the bathroom. There are no firearms or bodies of water on the premises. LPA observed a functional smoke and carbon monoxide detector.

Report continued on 809-C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie Pitts	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TRINITY TOTS	FACILITY NUMBER: 340302706
	VISIT DATE: 11/08/2019

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A sample of children's records were reviewed. Each child's file contained an emergency card and a consent for medical treatment. A sample of staff records were reviewed. All staff present at the facility during the inspection has obtained a criminal record clearance. A health screening report, and documentation of educational background, training, and/or experience was verified. At least one staff member present today has current Pediatric CPR and First Aid training certification and expires 8/31/2021. Completion of AB1207 Mandated Reporter Training was verified for staff. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ . Director understands that the mandated reporter training as well as CPR training must be completed every two years, and proof of completion must remain in the facility’s file.

This facility provides Incidental Medical Services (IMS). LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information, see "Regulation Interpretations and Procedures for Family Child Care Homes Section 102417" in the Evaluator Manual. When any IMS is provided, a Plan for Providing 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

LPA discussed and provided the “Effects of Lead Exposure” brochures and advised the Site Supervisor to share the brochures with parents. LPA discussed Safe Sleep and issued the Healthy Schools Act survey. LPA provided the following link:http://www.cdss.ca.gov/inforesources/Community-Care-Licensing/subscribe for the Licensee to subscribe to the distribution list and receive Quarterly Updates.

Title 22 deficiencies cited on the attached LIC 809D. This facility evaluation report was reviewed and discussed with the licensee. A notice of site visit was issued and must remain posted for 30 days. Licensee acknowledged that a copy of this report will remain on file for a period of three years for public review upon request. Appeal Rights were also issued and discussed.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie Pitts	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TRINITY TOTS	FACILITY NUMBER: 340302706
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/08/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/09/2019 Section Cited	1 2 3 4 5 6 7	Fixtures, Furniture, Equipment and Supplies All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair;
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: LPA observed garbage cans in the classroom that contained solid waste with no cover which poses a potential risk to children in care	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie Pitts	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

LIC809 (FAS) - (06/04)

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