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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340311772
Report Date: 07/03/2019
Date Signed: 07/03/2019 01:24:27 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:ONLY LOVE CHILDREN'S CENTERFACILITY NUMBER:
340311772
ADMINISTRATOR:VOROBETS, ANTONINAFACILITY TYPE:
850
ADDRESS:2581 HOWE AVENUETELEPHONE:
(916) 920-8724
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:64CENSUS: 54DATE:
07/03/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Antonina (Tonya) Vorobets and Ryan SuarezTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Seychelle De Luca and Marea Behvand met with Director Tonya Vorobets and Administrator Ryan Suarez for an unannounced case management inspection to discuss the Unusual Incident Report (UIR) that the facility called in and submitted on 7/2/2019 and which occurred on 7/1/2019. Upon arrival LPAs observed 17 napping preschool children and three staff in the Ferrets classroom, 19 napping preschool children and three staff in Dolphins classroom, and 18 napping preschool children and two staff in the Turtles classroom. LPAs interviewed staff, reviewed video footage, and toured the facility indoors.

It was reported that on 7/1/2019, Child #1 exited the Ferrets classroom and the front lobby to find Child #1's parent, who was in the parking lot. This occurred without Director or Staff #1 seeing Child #1 leave the classroom. Child #1's parent had not driven away yet and brought Child #1 back to the Ferrets classroom.

During today's inspection, LPAs reviewed video footage. LPAs observed Child #1 and parent entered the Ferrets classroom at 7:36 AM. Child #1's parent returned to the car at 7:40 AM. Approximately 30 seconds later, Child #1 ran out of the classroom and stood in the open doorway between the front lobby and the parking lot. Child #1's parent got out of the car and brought Child #1 back inside at 7:41 AM.

A Title 22 deficiency is cited on the subsequent page of this report.
Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Director shall post LIC 809D with Type A deficiency for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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: ONLY LOVE CHILDREN'S CENTER
FACILITY NUMBER: 340311772
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/04/2019
Section Cited
CCR
101229(a)(1)
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Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This requirement is not met as evidenced by the self reported incident that the facility submitted on 7/2/2019, which reads that Child #1 ran out of the classroom
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Director and Administrator have implemented a new procedure to have a third staff present in the morning. Director and Administrator will also hold a "Meet the Teacher Day" with parents and children before the school year begins to help children feel more comfortable with the facility and staff. Director and Administrator will hold orientations prior to
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without staff's knowledge and Child #1's parent returned Child #1 to classroom. Furthermore, LPAs reviewed video footage and observed Child #1 exit the classroom at 7:40 AM and stand in the doorway between the front lobby and the parking lot. At 7:41 AM, Child #1's parent returned Child #1. This poses an immediate safety concern.
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beginning of school year to further support the policies and procedures of the facility. Director will submit these changes in writing to LPA De Luca by POC date: 7/4/2019.
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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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
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