340304992-1-7-2020-03-CC-MLOR-BKLNY8-20200107095220

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340304992
Report Date: 01/07/2020
Date Signed: 01/07/2020 09:52:29 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:	CENTENNIAL CHRISTIAN PRE-SCHOOL		FACILITY NUMBER:	340304992
ADMINISTRATOR:	TESSMAN, DENISE		FACILITY TYPE:	850
ADDRESS:	5401 FREEPORT BLVD.		TELEPHONE:	(916) 453-0976
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95822
CAPACITY:	35	CENSUS: 18	DATE:	01/07/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Denise Tessman		TIME COMPLETED:	10:00 AM

NARRATIVE

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Licensing Program Analysts (LPAs) Mai Lor and Christopher Bello met with Director Denise Tessman for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. LPAs observed 18 preschool children and two staff members. The license offers two separate half day programs from 9:00am to 11:30am and from 12:15pm to 2:45pm. The program is a parent participation play based.

LPAs toured all activity and classroom spaces, restrooms, food service, and an outdoor play area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat law, and daily schedule. LPAs observed a first aid kit. Cleaning disinfectants, hazardous items, and medications are appropriately stored and inaccessible to children. Licensee stated there are no poisons on the premises. Furniture and equipment are in good condition. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. The food preparation space is free of litter. All food was protected against contamination, and storage containers with solid waste have tight-fitting covers. Parents provide snacks.

Drinking water was readily available to children both indoors and outdoors. LPAs observed full legal signatures while reviewing the sign in and sign out sheet. LPAs observed sufficient amount of cubbies and chairs. Playground equipment and surfaces are free of loose or sharp parts. There is no climbing structure in the outdoor play area. There are sufficient equipment and toys. There are shaded areas supplied by overhangs.

(Report continues on subsequent page)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

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: CENTENNIAL CHRISTIAN PRE-SCHOOL	FACILITY NUMBER: 340304992
	VISIT DATE: 01/07/2020

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Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 4/20/21). All staff currently employed with the facility have a criminal record clearance, health screening report, Mandated Reporter training certificates, and documentation of the educational background, training, and/or experience. LPAs 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. LPAs observed functional carbon monoxide and smoke detectors. LPAs 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 ten working days.

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: www.ada.gov/childqanda.

LPA Lor verified the annual fees are current.

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

No Title 22 Regulations cited during today's inspection. Exit interview conducted and Notice of Site Visit was provided and posted.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

LIC809 (FAS) - (06/04)

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