340310907-10-1-2019-03-CC-MBED-BGJSYR-20191001141757

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340310907
Report Date: 10/01/2019
Date Signed: 10/01/2019 02:18:06 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:	ASSOCIATED STUDENTS CSUS CHILDREN'S CENTER		FACILITY NUMBER:	340310907
ADMINISTRATOR:	VELTE, SHERRY		FACILITY TYPE:	830
ADDRESS:	6000 J STREET		TELEPHONE:	(916) 278-6216
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95819
CAPACITY:	57	CENSUS: 41	DATE:	10/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Sherry Velte		TIME COMPLETED:	02:30 PM

NARRATIVE

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Licensing Program Analysts (LPAs) Marea Behvand and Seychelle De Luca met with Director Sherry Velte 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, LPAs observed 9 infants and 5 staff members in the Bambini 1 room, 14 infants and 5 staff members in the Bambini 2 room, 18 infants and 6 staff members in the Bambini 3 room. Facility hours of operation are Monday through Friday from 6:30 AM to 6:00 PM.

LPAs toured the classroom spaces, restrooms, and outdoor play area. Director stated there are no poisons on the premises. Currently, no infants enrolled require medications. 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. Infant changing tables have a padded surface that is washable and at least one inch thick, and they have raised sides that are at least three inches high. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Parents provide all snacks and meals for infants. Menus were posted and 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.

Three infant staff and 5 children's records were reviewed. Each child's file contained an emergency card, a medical assessment, and Infant Needs and Services Plan. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 8/2021). All staff currently employed with the facility have a health screening report, and documentation of the educational background, training, and/or experience. LPAs reminded Director that 100% supervision is required at all times, including in the napping room. There are no firearms or bodies of water on the premises.

Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019

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: ASSOCIATED STUDENTS CSUS CHILDREN'S CENTER	FACILITY NUMBER: 340310907
	VISIT DATE: 10/01/2019

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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: http://www.ada.gov/childqanda.htm.

LPAs verified the annual fees are current. LPAs provided and discussed Healthy Schools Act and Effects of Lead Exposure brochure.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. An exit interview was conducted.

No Title 22 Deficiencies cited during inspection. LPA reviewed report with the licensee and provided copies. Notice of Site Visit issued and must remain posted

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Marea Behvand	TELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019

LIC809 (FAS) - (06/04)

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