343604771-8-17-2021-03-CC-TWAN-C5YSVM-20210817141258

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343604771
Report Date: 08/17/2021
Date Signed: 08/17/2021 02:13:05 PM

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 - FREEDOM PARK EARLY LEARNING CENTER		FACILITY NUMBER:	343604771
ADMINISTRATOR:	KIM MARTINEZ		FACILITY TYPE:	850
ADDRESS:	6015 WATT AVENUE #5		TELEPHONE:	(916) 563-5125
CITY:	NORTH HIGHLANDS	STATE: CA	ZIP CODE:	95660
CAPACITY:	100	CENSUS: 22	DATE:	08/17/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Kim Martinez		TIME COMPLETED:	02:20 PM

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	On August 17, 2021 at 11:25 AM, Licensing Program Analyst (LPA) Tanya Washington met with Site Supervisor, Kim Martinez for the purpose of an unannounced annual required 1 year inspection. Program Officer Elizabeth Tiffer was also present and assisted with the visit. Site Supervisor was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included 11 preschool age children and 10 toddlers supervised by 16 staff members who all have obtained a criminal record clearance through Community Care Licensing. All staff's criminal records are associated to Seta Bannon Creek Headstart. Facility is open Monday- Friday from 8 AM to 4:30 PM. The program provides breakfast, lunch and PM snack. LPA and facility representatives toured all areas used by children including: restrooms, food service area, classrooms and outdoor play area. Facility has a shared use schedule for outdoor playground. LPA checked children's medication for expiration dates and reminded Site Supervisor to ensure that medication is not expired. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. (Report continues on LIC809-C)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

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 - FREEDOM PARK EARLY LEARNING CENTER	FACILITY NUMBER: 343604771
	VISIT DATE: 08/17/2021

NARRATIVE

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The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPA observed full legal signatures while reviewing the hand-written sign in and sign out sheet.

Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification, which expires on 09/2021. All staff records contained the required documentation.

LPA reminded Site Supervisor that 100% supervision is required at all times, including in the bathroom. LPA reviewed the Department's inspection authority and discussed with Site Supervisor any changes that may occur regarding her or an employee acting in the Site Supervisor's absence must be reported to department within ten working days.

The facility is providing Incidental Medical Services. 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: www.ada.gov/childqanda.

Site Supervisor was encouraged to visit the department's website at www.ccld.ca.gov for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

This facility evaluation report was reviewed and discussed with Site Supervisor. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review.

An exit interview was conducted. No deficiencies were observed at the time of the inspection.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

LIC809 (FAS) - (06/04)

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