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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343604771
Report Date: 01/26/2023
Date Signed: 01/26/2023 01:13:48 PM


Document Has Been Signed on 01/26/2023 01:13 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:SETA - FREEDOM PARK EARLY LEARNING CENTERFACILITY NUMBER:
343604771
ADMINISTRATOR:KIM MARTINEZFACILITY TYPE:
850
ADDRESS:6015 WATT AVENUE #5TELEPHONE:
(916) 563-5125
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY:100CENSUS: 50DATE:
01/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Bhavneet KaurTIME COMPLETED:
01:25 PM
NARRATIVE
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On January 26, 2023, at 11:15 AM, Licensing Program Analyst (LPA) Tanya Washington met with Facility Representative, Bhavneet Kaur for the purpose of an unannounced case management inspection. The purpose of the inspection is to address an unusual incident which occurred on 01/18/2023. Upon arrival LPA observed 11 staff providing care and supervision to fifty children in five different classrooms.

On 01/18/2023, the facility self- reported an incident of absence of supervision. During today's inspection LPA conducted interviews with staff. During the interviews LPA learned that Staff #1 was in the bathroom with three children. While children were using the bathroom and being observed by Staff #1, Staff #2 was passing the bathroom area, returning from lunch. Staff #1 asked Staff #2 to take over the supervision of children in the bathroom so they can go to lunch. Staff #2 acknowledged and agreed to take over. Staff #2 assisted two children back to their designated classroom, leaving Child #1 unattended in the restroom area. Staff #3 observed Child #1 standing in the doorway of the bathroom, they assisted Child #1 and brought them to Facility Representative. Based on the interviews, absence of supervision was approximately for one minute.

Since the incident occurred, facility management has talked to the staff involved in the incident regarding supervision and safety of children. The facility management will be providing safety and supervision training on February 3rd, 2023. Staff has also been reminded to scan all areas during transition time and everyone is encouraged to contact management or Family Support Service employees if help is needed anytime.

Upon receipt, facility representative 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 enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

Refer to LIC809D for citation information.

LPA discussed this report with facility representative and conducted an exit interview. LPA also provided appeal rights. Notice of site visit posted.

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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Document Has Been Signed on 01/26/2023 01:13 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: SETA - FREEDOM PARK EARLY LEARNING CENTER
FACILITY NUMBER: 343604771

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/27/2023
Section Cited

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The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Facility Representative will submit a written plan which will outline the plan of action to correct the violation.

Written plan can be e-mailed to LPA Washington: tanya.washington@dss.ca.gov
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This requirement is not met as evidenced: Child #1 was left unattended in the bathroom for approximately one minute. This is an immidiate health and safety violation.
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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: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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