343601175-8-29-2019-03-CC-KFEA-BFHTM5-20190829145033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343601175
Report Date: 08/29/2019
Date Signed: 08/29/2019 02:50:43 PM

COMPREHENSIVE INSPECTION

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:	ACTION DAY LEARNING CENTER		FACILITY NUMBER:	343601175
ADMINISTRATOR:	LISH, LORI		FACILITY TYPE:	840
ADDRESS:	6822 KENNETH AVENUE		TELEPHONE:	(916) 988-9689
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	28	CENSUS: 13	DATE:	08/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Lauri Lish, Director		TIME COMPLETED:	03:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Kelly Ferrara met with Director Lauri Lish for the purpose of an unannounced random annual inspection. LPA toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Appropriate ratio and care and supervision were observed during today's inspection. Census included 13 school age children being supervised by two staff. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 6:15 AM- 615 PM.

Classrooms all appeared clean including the carpets and floor. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under the climbing equipment are cushioned with enough material to absorb a fall and there is adequate shade. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. There are no firearms or bodies of water on the premises, and the facility has at least one functioning carbon monoxide detector. Trash cans containing solid waste had lids. Menus were posted for lunch and AM and PM snack and other required licensing documentation was posted for parental review. LPA observed a computer where the parents are signing their children in and out of the center electronically.

A sample of children and staff's files were reviewed. All children's files contained the required documentation. Three out of eight staff files reviewed did not have proof of immunization to MMR and Pertussis.At least one staff member present today has current Pediatric CPR and First Aid certification that expires in June 2021. LPA observed a current children's roster and fire drill log with the last drill conducted in July 2019.

All staff currently employed with the facility has a criminal record clearance and are associated to the preschool and school age license. 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 10 working days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

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: ACTION DAY LEARNING CENTER	FACILITY NUMBER: 343601175
	VISIT DATE: 08/29/2019

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Incidental Medical Services (IMS) policy was discussed although there are no children currently enrolled with medication. The facility has a first aid box with ample supplies. For additional IMS information, director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

This facility evaluation report was reviewed and discussed with the Director. Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. LPA gave the Director a hand out on the Effects of Lead Exposure and a hand out on Active Supervision. A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

One Type B deficiency was cited based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

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: ACTION DAY LEARNING CENTER	FACILITY NUMBER: 343601175
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/29/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/27/2019 Section Cited	1 2 3 4 5 6 7	Employees or volunteers at day care center; immunization requirements; records; exemptions (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and
	8 9 10 11 12 13 14	volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidenced by: LPA conducted staff file review and observed three out of eight files did not have proof of immunizations. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

LIC809 (FAS) - (06/04)

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