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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343601694
Report Date: 02/11/2022
Date Signed: 02/11/2022 12:31:27 PM


Document Has Been Signed on 02/11/2022 12:31 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:KIDS COMPANY PRESCHOOL & CHILDCARE CENTERFACILITY NUMBER:
343601694
ADMINISTRATOR:WILLETTE, ROBINFACILITY TYPE:
850
ADDRESS:3850 CALIFORNIA AVE.TELEPHONE:
(916) 944-0706
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:45CENSUS: 14DATE:
02/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:MoloTIME COMPLETED:
12:45 PM
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On February, 2022, at approximately 8:30 AM, Licensing Program Analysts (LPAs) Alize Tillery and Amanda Sutter met with Lead Teacher Usoalii (Molo) Napolitano for the purpose of an unannounced required 1 year annual inspection. Lead Teacher informed LPAs that potential Director Shayna Jones is not present today. Upon arrival, LPAs observed 14 preschool children, supervised by 2 staff members (Staff #1 and #2). At approximately 9:15am Staff #3 arrived; Staff #3 is not associated to the facility nor fingerprint cleared. The facility hours of operation are Monday through Friday from 6:30 AM to 6:30 PM. The facility does not offer transportation services.

LPAs toured all activity and classroom spaces, kitchen, restrooms and two outdoor play areas. LPAs observed children two years and above to be wearing masks while indoors. LPAs discussed current COVID19 mandates and guidelines with Lead Teacher. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and daily schedule. Cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. LPAs encouraged Lead Teacher to schedule times throughout the year to check for expired medications. Lead Teacher stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition. Out of 4 toilets, 1 is not operational; Lead Teacher stated that Director is working on fixing it. LPAs recommended carpet and mats throughout the facility be cleaned. The program provides breakfast, lunch and 2 snacks.



LPA observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors; Director stated that since COVID pandemic, children bring their personal cups. LPAs observed the facility’s sign in and out sheet at the entrance. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 12/2021. LPAs observed two outdoor play areas. The outdoor play area on the left had damaged/broken play structures and equipment was observed to have built up dirt. Lead Teacher stated that the children are currently only using the outdoor play area on the right. LPAs require that Director submit proof that broken structures are removed from outdoor play area by 3/11/2022. Throughout both outdoor play areas, nails were sticking out of the fences and the fence on the right outdoor play area is leaning in towards the play area. Lead Teacher was reminded to ensure children are using play structures as the structure guidelines intend. There are shaded areas supplied by trees and the building.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2022
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: KIDS COMPANY PRESCHOOL & CHILDCARE CENTER
FACILITY NUMBER: 343601694
VISIT DATE: 02/11/2022
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7 children and 2 staff file records were reviewed. Children files were observed to be complete. Staff files were observed to be incomplete and Staff #3 did not have a file for LPAs to review. LPAs were unable to confirm staff qualifications, due to missing of transcripts/permits. LPAs informed Lead Teacher that licensing is waiting on Director qualifications to be submitted. No staff member present today has a current Pediatric CPR and First Aid certification; Lead Teachers certificate expired 01/2022. LPA reminded Lead Teacher to keep a current Children’s Roster on file, that is to be maintained for three years. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reminded Lead Teacher that 100% supervision is required at all times. 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



Lead Teacher 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.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: KIDS COMPANY PRESCHOOL & CHILDCARE CENTER
FACILITY NUMBER: 343601694
VISIT DATE: 02/11/2022
NARRATIVE
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Deficiencies are cited on the following 809D pages. Upon receipt, licensee shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/guardians of children newly enroll at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Lead Teacher (Facility Representative), Molo Napolitano.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 02/11/2022 12:31 PM - It Cannot Be Edited

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: KIDS COMPANY PRESCHOOL & CHILDCARE CENTER
FACILITY NUMBER: 343601694

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(1)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in that staff #3 does not have an active fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2022
Plan of Correction
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Director will submit correspondence to LPA Tillery, that she understands volunteers and employees over 18 must be fingerprinted prior to being present in facility.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5


Document Has Been Signed on 02/11/2022 12:31 PM - It Cannot Be Edited

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: KIDS COMPANY PRESCHOOL & CHILDCARE CENTER
FACILITY NUMBER: 343601694

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in that no staff members present today have current cpr certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/11/2022
Plan of Correction
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Director will submit proof to LPA Tillery of staff completing cpr training.
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in that all staff files were observed to be incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/11/2022
Plan of Correction
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LPA will return to review staff files.
Director will submit her Director Qualifications to Licensing by plan of correction date.

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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5