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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340302706
Report Date: 06/19/2023
Date Signed: 06/19/2023 10:39:38 AM


Document Has Been Signed on 06/19/2023 10:39 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:TRINITY TOTSFACILITY NUMBER:
340302706
ADMINISTRATOR:SANDRA ANDERSONFACILITY TYPE:
850
ADDRESS:5225 HILLSDALE BLVD.TELEPHONE:
(916) 331-7377
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY:153CENSUS: 25DATE:
06/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sandra AndersonTIME COMPLETED:
10:45 AM
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On 6/19/2023, Licensing Program Analyst (LPA) Amanda Sutter and Licensing Program Manager (LPM) Seychelle De Luca met with Director Sandra Anderson for the purpose of an unannounced case management visit. Director requests to remove room 103 from the license, and to add rooms 105A and 105B to the license. Facility also wishes to add playground 2 and 1, following renovation. LPA advised that a new application page (LIC200A), facility sketch (LIC999), and $25 fee should be submitted to Child Care licensing in order to add and remove rooms to the license, as well as to change the facility's capacity. The facility’s hours of operation are Monday through Friday, 7:00 AM to 5:00 PM. Upon arrival, LPA observed 25 preschoolers supervised by 5 staff members. All individuals subject to criminal background review have obtained a criminal record clearance.

A health and safety inspection were conducted in all areas accessible to children. LPA measured rooms 105A, 105B, 106, 107, 108, and midway. The total classroom space contains a total of 5197.862 square feet, which accommodates a maximum of 148 preschool children. There are 10 operational toilets and 13 sinks for the children. One toilet adjacent to room 105B is currently inoperable. One front student restroom has 2 toilets and 1 sink, but the restroom iscurrently being operated upon. These restrooms will be used by the Kindergarten classroom. LPA advised director that a request for a shared space waiver in order to use of these restrooms. With current sinks and toilets available, the maximum number of preschool children that can be accommodated is 150. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

There are three outdoor area on the property for preschool children. LPA measured Playground 1, 2, and 3. Playground 3 is the only playground currently being used by the preschool. Playground 2 is currently being renovated. Playground 1 will be used by the Kindergarten classroom, and director stated that she wishes to use this space for the preschool as well. LPA advised director that a request for a shared space waiver will need to be submitted to share this playground. CONTINUED ON LIC809-C
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda SutterTELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:
DATE: 06/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2023
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TRINITY TOTS
FACILITY NUMBER: 340302706
VISIT DATE: 06/19/2023
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LPA measured the playground 3. The total outdoor activity area contains a total of 4303.42 square feet. The square footage measured accommodates 57 children. LPA advised the director to submit an request for an insufficient space waiver with a rotating schedule of a maximum of 57 preschool children at any given time. Total outdoor space including playgrounds 1 and 2 is 11205.52, which accommodates a maximum of 149 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

A notice of site visit was given and must remain posted for 30 days. In the areas observed, no deficiencies were cited. Exit interview conducted and report was reviewed with the licensee Director, Sandra Anderson.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda SutterTELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2023
LIC809 (FAS) - (06/04)
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