340321448-3-3-2022-03-CC-ATIY-CC6T2T-20220303132115

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340321448
Report Date: 03/03/2022
Date Signed: 03/03/2022 01:21:20 PM

Document Has Been Signed on 03/03/2022 01:21 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	ROBLA PRESCHOOL		FACILITY NUMBER:	340321448
ADMINISTRATOR:	CHRISTIE ERHRAT		FACILITY TYPE:	850
ADDRESS:	4351 PINELL STREET		TELEPHONE:	(916) 927-0136
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95838
CAPACITY:	198	CENSUS: 74	DATE:	03/03/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Christie Erhart		TIME COMPLETED:	01:35 PM

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On March 3, 2022, at approximately 10:45 AM, Licensing Program Analysts (LPAs) Alize Tillery and Amanda Sutter met with Director Christie Erhart for the purpose of an unannounced required 1 year annual inspection. Upon arrival, LPA observed 18 children supervised by 3 staff in Room 3, 21 children supervised by 3 staff in Room 4, 17 children supervised by 2 staff in Room 12, and 18 children supervised by 3 staff in room 13. The facility hours of operation are Monday through Friday from 7:30 AM to 5:30 PM. The facility does not offer transportation services.

LPAs toured all activity and classroom spaces (Rooms 1 through 13), kitchen, restrooms and outdoor play areas. LPA observed children two years and above to be wearing masks while indoors. LPA discussed current COVID19 mandates and guidelines with Director. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, menu and daily schedule. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. Director stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition, and the floors appeared to be clean throughout the facility. The program provides breakfast, lunch and one snack.

LPA observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Director stated that there is a water pitcher that is used and disposable cups are accessible to children. LPAs observed the facility’s sign in and out sheets. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 2/3/2022. Playground equipment and surfaces are free of loose or sharp parts. There are sufficient equipment and toys, and there are shaded areas supplied by trees and the building.

Report continues on 809-C.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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: ROBLA PRESCHOOL	FACILITY NUMBER: 340321448
	VISIT DATE: 03/03/2022

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10 staff and 10 children's files were reviewed. Both children and staff files were observed to be complete. LPA reviewed the LIC 125 – Entrance Checklist. Director understands which forms are required in all children and personnel files. At least one staff member present today has a current Pediatric CPR and First Aid certification that expires on 11/21/2023. LPA reminded Director to keep a current Children’s Roster on file, that is to be maintained for three years. LPA reminded Licensees that 100% supervision is required at all times. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reviewed the Department's inspection authority and discussed with designee 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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 is 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

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.

During today’s inspection no deficiencies were observed. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Christie Erhart.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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