340318126-1-10-2020-03-CC-ESIA-BKPQGS-20200110111002

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340318126
Report Date: 01/10/2020
Date Signed: 01/10/2020 11:10:07 AM

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:	PRAIRIE ELEMENTARY		FACILITY NUMBER:	340318126
ADMINISTRATOR:	KEVAL, FAWZIA		FACILITY TYPE:	850
ADDRESS:	5251 VALLEY HI DRIVE		TELEPHONE:	(916) 399-1050
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	118	CENSUS: 60	DATE:	01/10/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Monta Chea-Whitlock		TIME COMPLETED:	11:10 AM

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 Analysts (LPA), Elvira Sierra, met with Site Designee, Monta Chea-Whitlock for an Annual/Random Inspection. Academic Program coordinator, Kristen Hayashi arrived later during the inspection. Present during the inspection were 60 preschool children being supervised by 8 staff members who all have obtained criminal record clearance through Elk Grove Unified School District. The program operates in the Prairie Elementary School grounds M-F in Classrooms #3 (Head start (HS) 08:00 AM to 11:30 AM) #6 (HS-7:45 AM to 11:15AM and state(ST) 12:00 PM to 03:00PM) PK1(HS 08:00 AM to 02:00PM) and PK2 (ST. 7:45-10:45 HS 11:30-3:00,) during the school calendar year. LPA inspected the facility indoors and outdoors for health and safety hazards and observed the following; Classrooms have age appropriate toys and equipment that are in good repair. Cubbies are located inside the classrooms for children’s belongings. Facility has sufficient napping equipment for children in care. Medications and cleaning products and Toxins are maintained inaccessible to children.There are sufficient sinks and toilets for children's usage. Restrooms are maintained clean, in good repair and with adequate supplies. Staff use a separate restroom. The isolation area for ill children is in the classrooms in a open child privacy cube and the use of the staff restroom. if needed. Drinking water is readily available Indoors/outdoors via drinking fountain. Facility has a fire extinguisher that meets the minimum requirements, a smoke and a carbon monoxide detector. Outdoor play area is free from hazards and dangerous conditions. The facility offers breakfast, lunch and a PM snack, which is prepared and delivered from the School District centralized kitchen. Emergency supplies are available and maintained. First Aid Kit is properly maintained and kept inaccessible to children. Classrooms have appropriate postings. Last Emergency Drill are conducted monthly and are properly logged. Report continued on subsequent page 809C-------

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

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: PRAIRIE ELEMENTARY	FACILITY NUMBER: 340318126
	VISIT DATE: 01/10/2020

NARRATIVE

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Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification. Sign in/out sheets were reviewed

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: www.ada.gov/childqanda.

LPA reviewed AB 1207- California Child Care Worker: Mandated Reporter Training. Training must be renew every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com. LPA observed all staff have completed the training.

This facility evaluation report was reviewed and discussed with Academic Program Coordinator; A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so Designee can request to be added to the distribution list to receive Quarterly Updates. Staff was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

>No deficiencies were cited today under CCR, Title 22, Division 12, Chapter 3.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

LIC809 (FAS) - (06/04)

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