343602289-8-9-2019-03-CC-SDLA-BEVLXH-20190809090845

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343602289
Report Date: 08/09/2019
Date Signed: 08/09/2019 09:08:50 AM

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:	ENCINA HEAD START STATE PRESCHOOL		FACILITY NUMBER:	343602289
ADMINISTRATOR:	WILLIAMS, LAURA		FACILITY TYPE:	850
ADDRESS:	1400 BELL ST		TELEPHONE:	(916) 971-7375
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	24	CENSUS: 0	DATE:	08/09/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Judy Ellis and Kim Rodda		TIME COMPLETED:	09:30 AM

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) Seychelle De Luca and Marissa Soto met with Education Content Specialist (ECS) Judy Ellis and Teacher on Special Assignment (TOSA) Kim Rodda for the purpose of an announced case management inspection. Licensee requested to increase from a capacity of 24 preschool age children to 48 preschool age children. Facility is currently pending approval of the fire clearance for the additional room, P1. Facility will operate two full day programs in both rooms, P1 and P2 from 8 AM to 3:00 PM. A health and safety inspection was conducted in all areas accessible to children. LPAs measured both classrooms. The total indoor capacity for both classrooms is 2,557.8 square feet. This will accommodate Licensee's request for 48 preschool age children. There are four toilets, six sinks, and one urinal in the bathrooms located between the two classrooms. LPAs observed a sufficient amount of cubbies, chairs, and tables. LPAs observed two kitchen areas in both classrooms, which are equipped with refrigerators, stoves, microwaves, sinks, ovens, and dishwashers. LPAs observed a functional carbon monoxide detector, first aid kit, and medication box. LPAs measured the outdoor space. The total outdoor space is 9032.05 square feet. This will accommodate Licensee's request for 48 preschool age children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). There are two play structures on the playground and there is shade provided by trees and canopies. There is a functional water fountain. ECS were encouraged to visit the Department's website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: ENCINA HEAD START STATE PRESCHOOL	FACILITY NUMBER: 343602289
	VISIT DATE: 08/09/2019

NARRATIVE

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CONDITIONS REQUIRING CORRECTION PRIOR TO APPROVING INCREASE:
1. Fire clearance
2. Proof the classrooms are completely set up

An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection. ECS's signature on this form acknowledges receipt of this form. A Notice of Site Visit was provided and should remain posted for 30 days for parental review.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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