340306210-9-25-2019-03-CC-KGOL-BGCQTF-20190925122704

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340306210
Report Date: 09/25/2019
Date Signed: 09/25/2019 12:27:15 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:	DOT TOT CENTER		FACILITY NUMBER:	340306210
ADMINISTRATOR:	GINA QUERAL		FACILITY TYPE:	850
ADDRESS:	1630 12TH STREET		TELEPHONE:	(916) 442-5421
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95814
CAPACITY:	36	CENSUS: 20	DATE:	09/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Gina Queral		TIME COMPLETED:	12:45 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	Licensing Program Analyst (LPA), Goodell, met with Director, Gina Queral, for an unannounced Annual Inspection. The Facility’s hours of operation are Monday through Friday from 7:00am to 6:00pm. Upon arrival, LPAs observed 20 children with 4 staff and director. Staff members present during inspection have obtained fingerprint clearance through Community Care Licensing. LPA toured the facility including all activity/classroom areas, food service area and restrooms. Director stated the facility provides breakfast, morning/afternoon snack and lunch. LPA observed a current menu and activity schedule posted. LPA observed fire extinguisher 3A40BC, smoke and carbon monoxide detectors. LPA observed napping equipment. LPA observed napping mats stored and stacked with napping sheets in contact with the other. Director stated sheets are washed weekly. Director acknowledged that bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. LPA toured the outdoor activity space and observed playground equipment. LPA observed three open windows facing the infant outdoor area from the preschool classroom, with torn window screens. Director stated a maintenance request has been submitted. LPA also observed drinking water is made readily available to children both indoors and outdoors. LPAs observed cleaning compounds are inaccessible to children. Director stated there are no firearms, bodies of water or poisons on the property. Report continues on LIC 809C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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: DOT TOT CENTER	FACILITY NUMBER: 340306210
	VISIT DATE: 09/25/2019

NARRATIVE

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LPA reviewed children’s files. LPA also reviewed staff files. LPA observed that at least one staff member present during today’s inspection has a current Pediatric CPR/First Aid that expires in 8/30/2021. LPAs observed child roster.

LPA obtained the facility’s email address to enroll in Quarterly Updates. In addition, LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations, self-assessment guides, and access forms. LPA advised the director of their responsibility to stay current in regards to new regulations.

Title 22 Deficiencies cited on next LIC809-D. LPA reviewed report with the director and provided copies. The Notice of Site Visit issued and must remain posted for 30 days. Appeal Rights also issued and discussed.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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: DOT TOT CENTER	FACILITY NUMBER: 340306210
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/25/2019 Section Cited	1 2 3 4 5 6 7	Napping Equipment. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. This requirement is not met due to LPA observed napping mats stored and stacked with napping sheets in contact with the other which poses a potential health and safety risk to children in care.
Type B 10/25/2019 Section Cited	1 2 3 4 5 6 7	Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met due to LPA observed three open windows facing the infant outdoor area from the preschool classroom, with torn window screens.
	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: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

LIC809 (FAS) - (06/04)

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