340320034-2-5-2020-03-CC-KGOL-BLHU3E-20200205141324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340320034
Report Date: 02/05/2020
Date Signed: 02/05/2020 02:13:49 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:	GREAT BEGINNINGS CHILD DEVELOPMENT CNTR		FACILITY NUMBER:	340320034
ADMINISTRATOR:	SIBERT, KELLY		FACILITY TYPE:	850
ADDRESS:	2791 24TH STREET		TELEPHONE:	(916) 456-4642
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95818
CAPACITY:	57	CENSUS: 44	DATE:	02/05/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Kelly Sibert		TIME COMPLETED:	03:00 PM

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 (LPAs), Goodell and Ferrara met with director Kelly Sibert for an unannounced Annual Inspection. The facility’s hours of operation are Monday-Friday 7:30am-5:30pm. LPAs arrived during naptime and observed of 20 children present with two staff and director in the Blue room and 24 children with 1 staff in the Red room. All individuals present have obtained fingerprint clearance through Community Care Licensing. LPA observed required postings: Facility License (LIC 203A), Personal Rights (LIC9040), Emergency Disaster Plan (LIC610), Earthquake Preparedness Checklist (LIC9148), and Parent’s Rights Poster (PUB393). LPA toured all activity/classroom areas, children’s furniture, play equipment, napping equipment, food service area, and restrooms. LPA reviewed sign/in-sign/out sheets. Facility provides morning/afternoon snacks and lunch. LPA observed snack menu and activity posted. Staff acknowledged menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Staff stated napping sheets are washed weekly. Staff acknowledge bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. LPA observed outdoor area and play equipment. Staff acknowledge the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. Water is accessible to children both indoor and outdoor. LPA observed fire extinguisher 2A10BC, smoke and carbon monoxide detectors. LPA observe fire drill log and children roster maintained. Report Continues on LIC-809C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: GREAT BEGINNINGS CHILD DEVELOPMENT CNTR	FACILITY NUMBER: 340320034
	VISIT DATE: 02/05/2020

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LPA reviewed children files. Documents included Identification and Emergency Information (LIC700), Child’s Preadmission Health History (LIC702), Child’s Preadmission Health Evaluation (LIC701), Consent for Medical Treatment (LIC627), Notification of Parent’s Rights (LIC 995), Personal Rights (LIC613A).

LPA reviewed staff files and educational requirements. Documents included Health Screening Report (LIC503), TB Clearance, Personal Record (LIC501), Criminal Record Statement (LIC508), Notice of Employee Rights, Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC9108) and certificate for Mandated Reporter Training. LPA observed that at least one staff member present during today’s inspection has current Pediatric CPR/First Aid that expires on 9/21/2021.

LPA provided the Community Care Licensing website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations, self-assessment guides and access forms. LPA advised the director of their responsibility to stay current in regards to new regulations.

No Title 22 deficiencies cited. LPA reviewed report with the director and provided copies. Notice of Site Visit issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

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