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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340319034
Report Date: 10/11/2019
Date Signed: 10/11/2019 11:50:39 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:NICHOLAS PRESCHOOLFACILITY NUMBER:
340319034
ADMINISTRATOR:ROSALIE NUGENTFACILITY TYPE:
850
ADDRESS:6601 STEINER DRIVETELEPHONE:
(916) 433-5079
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:24CENSUS: 0DATE:
10/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Rosalie NugentTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Elvira Sierra met with Director, Rosalie Nugent for the purpose of an unannounced annual random inspection. There were no children present during the inspection. Program operates in the grounds of the Nicholas Elementary School in classroom K-3, M-Th from 08:30 AM to 12:00 PM and in the afternoon from 12:30 PM to 03:30 PM and and on Fridays only in the afternoon from 12:30 PM to 03:30 PM. The program is a combination of Head Start and State Preschool (double section). Facility follows the Sacramento City Unified School District calendar.

LPA toured all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are appropriately stored and inaccessible to children. Director stated there are no poisons 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. The areas around or under climbing equipment are cushioned with wood chips to absorb the fall. Facility has a waiver on file to share the playground with the elementary school children.Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. Storage containers with solid waste have tight-fitting covers. Program provides breakfast, lunch and afternoon snacks that are provided by the school district and is deliver to the facility daily. Menus were posted and drinking water was readily available to children both indoors and outdoors. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. LPA reviewed the Department's inspection authority and discussed with Director any changes that may occur regarding the Director or an employee acting in the Director's absence must be reported to department within ten working days. LPA reminded Director that 100% supervision is required at all times, including in the bathroom. Staff and children's records were reviewed. Director stated that all staff currently employed have a criminal record clearance through the District. Staff has health screening report, and documentation of the educational background, training, and/or experience on file. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. At least one staff member present today has current Pediatric CPR and First Aid certification. LPA observed child’s admission agreement on children’s files.

Report continued on subsequent page 809C-----

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: NICHOLAS PRESCHOOL
FACILITY NUMBER: 340319034
VISIT DATE: 10/11/2019
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Facility is provising Incidental Medical Services (IMS). Policy was discussed with Director. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Sections 101173 and 101226. LPA verified medication and program has a training report given to staff provided by the District on how to administer medication and incidental medical services.
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 AB 1207- California Child Care Worker: Mandated Reporter Training. The licensee must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be could at: mandatedreporterca.com. Director stated that staff takes the training through the Sacramento City Unified School District Child Development Department. LPA observed all staff have completed the training. and staff takes the training every year.

Effects of Lead exposure information was provided to Director.

Director was updated on new immunization requirements from the Department of Public Health(CDHP) that will become effective July 1, 2019. Additional information and resources can be found on the https://www.shotsforschool.org website.

LPA verified the annual fees are current.

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. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so Director can request to be added to the distribution list to receive Quarterly Updates. Director 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. In the areas that were evaluated, no deficiencies were observed at the time of the visit

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2