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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603671
Report Date: 09/01/2022
Date Signed: 09/01/2022 11:22:48 AM


Document Has Been Signed on 09/01/2022 11:22 AM - 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:SETA - MATHER HEAD STARTFACILITY NUMBER:
343603671
ADMINISTRATOR:MALDONADO, JENNIFERFACILITY TYPE:
850
ADDRESS:10546 PETER A. MCQUEN RD.TELEPHONE:
(916) 563-5057
CITY:MATHERSTATE: CAZIP CODE:
95655
CAPACITY:90CENSUS: DATE:
09/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer MaldonadoTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Jennifer Maldonado, for an annual inspection. Purpose of the inspection was explained. Present, there are 42 children with 11 staff and the director. Facility is operating with in the capacity and in compliance with staff child ratio on this day. Facility operate day care from Monday to Friday between 8 AM to 5 PM.

With director, LPA inspected the day care classrooms and play yards. This facility has separate classroom and separate play yard for toddlers. LPA observed the facility has smoke detectors, carbon monoxide detectors, first aid supplies and working telephone in each classroom. There is fully charged fire extinguisher at the site. All of the unused electrical outlets have child protective covers installed. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility has sufficient amount of sleeping matts. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste and in good repair and have proper tight - fitted lid on top. Facility has drinking water available for children. All the food is stored in properly manner and has lid to avoid any contamination. There is refrigerator in each classroom and has allergy list or food limitation posted. There is drinking water in play yard for children. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. In preschool play yard, there is sufficient amount of wood chips and in toddler play yard there is sufficient amount of rubber material under the play structures to prevent any fall injuries.

LPA reviewed the facility records. LPA observed that facility has sign in / out record at the facility entrance. Facility has well maintained roster available on site. LPA observed the facility has license and all of the other required documents posted in the main lobby and are visible for the public.
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SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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: SETA - MATHER HEAD START
FACILITY NUMBER: 343603671
VISIT DATE: 09/01/2022
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LPA reviewed random children's and staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Multiple staff members have record of valid CPR card in file. LPA reviewed the educational qualification of all the teachers. LPA observed facility has fire drill log in place and per log, last drill was conducted on June 15, 2022. Facility has an updated children roster on file. Facility is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed all of the facility staff has completed the Department approved training and the completion certificates are on file.

All Child Care Centers (CCCs) that are located in buildings constructed before January 1, 2010 must have their drinking water tested for lead and post the results by January 1, 2023 and every 5 years after the date of the initial test. For a license issued on or after July 1, 2022, the CCC must have its water tested and post the results within 180 days of licensure. This facility has the water tested and submitted the result report to the department.

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 encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022
LIC809 (FAS) - (06/04)
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