343600801-1-7-2020-03-CC-ESIA-BKLVXX-20200107155015

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343600801
Report Date: 01/07/2020
Date Signed: 01/07/2020 03:50:20 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:	SETA - LAVERNE STEWART - HEAD START		FACILITY NUMBER:	343600801
ADMINISTRATOR:	KATHY BARNES		FACILITY TYPE:	850
ADDRESS:	5545 SKY PARKWAY		TELEPHONE:	(916) 563-5055
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	20	CENSUS: 0	DATE:	01/07/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Kathy Barnes		TIME COMPLETED:	04:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Elvira Sierra met with Director Kathy Barnes for the purpose of an unannounced annual random inspection. There were no children present at the time of the inspection. Facility is open M-F from 07:30 AM to 04:00 PM. Director stated that facility is open for care only M-Th from 08:00 AM to 02:30 PM. Facility operates inside the Lotus Landing Apartment Complex.

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. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. Program provides family style meals that are prepared and delivered to the facility from Mather Kitchen. 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 the Director that 100% supervision is required at all times, including in the bathroom.

Staff and children's records were reviewed. All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience.

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: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

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: SETA - LAVERNE STEWART - HEAD START	FACILITY NUMBER: 343600801
	VISIT DATE: 01/07/2020

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Director was reminded before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. 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 certificate. LPA observed child’s admission agreement on children’s files.
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: http://www.ada.gov/childqanda.htm.

LPA reviewed AB 1207- California Child Care Worker: Mandated Reporter Training. Staff 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. LPA observed all staff have completed the training.

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.

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 Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

LIC809 (FAS) - (06/04)

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