343603678-9-22-2022-03-CC-JGAG-CJHQSM-20220922122545

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343603678
Report Date: 09/22/2022
Date Signed: 09/22/2022 12:25:51 PM

Document Has Been Signed on 09/22/2022 12:25 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:	COTTAGE KIDS CHILDREN'S CENTER		FACILITY NUMBER:	343603678
ADMINISTRATOR:	ALLEY, NICOLE		FACILITY TYPE:	830
ADDRESS:	2800 COTTAGE WAY		TELEPHONE:	(916) 979-2011
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	20	CENSUS: 9	DATE:	09/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Nicole Alley		TIME COMPLETED:	12:30 PM

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On September 22, 2022 at approximately 8:50 AM, Licensing Program Analyst (LPA) Josiah Gathing met with Director Nicole Alley for the purpose of an unannounced annual random inspection. LPA observed care and supervision of four infants and five toddlers with five staff. The facility hours of operation are Monday through Friday from 7:30 AM to 5:30 PM.

LPA toured the indoor classroom areas, children’s restrooms, staff restroom, kitchen, office, conference room, and outdoor play areas. Medications were stored in the main office out of children’s reach according to regulation. Director stated there are no poisons or firearms 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. Changing areas were sanitary with changing pads in good condition. The floors were clean throughout the facility.

LPA observed that solid waste containers were covered. LPA observed refrigerated milk and formula with children’s names and the current date. LPA observed an electronic sign in and out system with parent’s full names.

All present staff files were reviewed. Staff transcripts were reviewed, and all teachers present were fully qualified for infant care. LPA observed staff had a current Mandated Reporter certificates and proof of immunizations. LPA observed current CPR/First Aid certificates were available for present staff.

LPA observed the sample of infant and toddler files contained the appropriate documents. LPA observed current fire drill log last updated August 15, 2022. LPA observed complete children’s roster on file. The facility is equipped with First Aid equipment.

Report continues on LIC809-C...

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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: COTTAGE KIDS CHILDREN'S CENTER	FACILITY NUMBER: 343603678
	VISIT DATE: 09/22/2022

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LPA discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information 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

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/inspection-process.

Director was encouraged to the visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers.
No deficiencies were cited based on today’s inspection. Exit interview was conducted and report was reviewed with the Facility Representative. A notice of site visit was given and must remain posted for 30 days. Appeal rights were printed and provided to facility Director.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

LIC809 (FAS) - (06/04)

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