340306384-4-28-2023-03-CC-JGAG-CRBTPU-20230428145455

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340306384
Report Date: 04/28/2023
Date Signed: 04/28/2023 02:55:00 PM

Document Has Been Signed on 04/28/2023 02:55 PM - It Cannot Be Edited

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:	HOWE AVE. CHILDREN'S CENTER/HEAD START/P.S.		FACILITY NUMBER:	340306384
ADMINISTRATOR:	VICKY MABRY		FACILITY TYPE:	850
ADDRESS:	2404 HOWE AVE.		TELEPHONE:	(916) 566-2181
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	96	CENSUS: 49	DATE:	04/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	David Porter		TIME COMPLETED:	03:05 PM

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On April 28, 2023 at approximately 1:00 PM, Licensing Program Analyst (LPA) Josiah Gathing met with Site Supervisor David Porter for the purpose of an unannounced annual random inspection. LPA observed care and supervision of 49 preschool children by 9 staff. The facility has a maximum capacity of 96. Facility hours of operation are Monday through Friday 7:45 AM to 3:00PM. Room J1 is not currently in use.

LPA toured the classrooms, restrooms, staff area, and outdoor play area. Site Supervisor stated there are no firearms 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 and the ground below the play structure is sufficiently padded. Restrooms are in sanitary condition with functioning toilets. The floors were clean throughout the facility. Medications are stored in a backpack, out of children’s reach and labeled according to regulation.

LPA observed that solid waste containers were covered. Facility provides breakfast and lunch daily, and weekly menus were posted. Drinking water was readily available to children both indoors and outdoors. LPA observed an electronic sign in and out sheet which showed all children present with parent’s full names.

LPA observed the sample of children’s files contained the appropriate documents. LPA observed first aid equipment, functioning smoke and carbon monoxide detectors, and fully charged fire extinguishers meeting regulation. Required documents were posted.

Report continues on LIC809-C…

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

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

FACILITY NAME: HOWE AVE. CHILDREN'S CENTER/HEAD START/P.S.	FACILITY NUMBER: 340306384
	VISIT DATE: 04/28/2023

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LPA discussed Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

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

No deficiencies were cited based on today’s inspection. Exit interview was conducted and report was reviewed with the Site Supervisor. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

LIC809 (FAS) - (06/04)

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