340311435-9-17-2024-03-CC-DVAG-D97TCR-20240917143710

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340311435
Report Date: 09/17/2024
Date Signed: 09/17/2024 02:37:15 PM

Document Has Been Signed on 09/17/2024 02:37 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	YMCA OF SUPERIOR CALIFORNIA - EAST SACRAMENTO		FACILITY NUMBER:	340311435
ADMINISTRATOR:	LARRY COURTER		FACILITY TYPE:	840
ADDRESS:	3600 J STREET		TELEPHONE:	(916) 737-0442
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95816
CAPACITY:	60	CENSUS: 7	DATE:	09/17/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Larry Courter		TIME COMPLETED:	03:00 PM

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At 1:00 p.m. on Tuesday, September 17th, 2024, Licensing Program Analyst (LPA) Pa Dao Vang met with Director Larry Courter for the purpose of an unannounced, annual required inspection. LPA observed a census of 7 children supervised by 2 staff. Facility hours of operation are from 7:00 a.m. - 9:00 a.m. and 1:10 p.m. – 6:00 p.m., Mondays thru Fridays. Center provides breakfast and p.m. snack for the children. The facility does not offer transportation services.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA conducted a health and safety inspection of the classroom, restrooms, and food service area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Earthquake Preparedness, Child Passenger Restraint Poster, Parent’s Notification, LIC613A Person Rights, Daily Activity Schedule, and menus. LPA provided a new Parents’ Rights Notification with the regional office’s current address to Director. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. Furniture and equipment are in good condition.

LPA observed trash bins with tight fitted lids. Toileting facilities are in safe, sanitary condition. The floors appeared to be clean throughout the facility. Director stated that there is no smoking, no firearms nor poisons on the premises. LPAs observed the facility’s sign in and out system. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 08/13/2024.

Continue report on LIC809-C...

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao Vang	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024

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: YMCA OF SUPERIOR CALIFORNIA - EAST SACRAMENTO	FACILITY NUMBER: 340311435
	VISIT DATE: 09/17/2024

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Facility provides Incidental Medical Services. 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.

LPA reviewed staff and children's records. LPA observed current employee rights, and documentation of the educational background, training, current immunization, and/or experience. There is at least 1 staff with current CRP/First Aid certification in the facility.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Director stated the lead testing was completed in 2023 and will obtain a copy of the results. Director will also email a copy to LPA. Director stated the sinks are used for hand washing only and not for food preparation. Drinking water is accessible via water bottles, water filter containers, and cups. The water bottles are transitioned with children.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiency is being cited today based on LPA’s observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted with Director Larry Courter. An exit interview was conducted, a copy of this report, appeal rights, and a notice of site visit were also provided to Director. Notice of site visit shall remain posted for a period of 30 consecutive days.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao Vang	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024

LIC809 (FAS) - (06/04)

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