343605727-10-26-2021-03-CC-MPAL-C86TEN-20211026144014

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343605727
Report Date: 10/26/2021
Date Signed: 10/26/2021 02:40:20 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:	B.J. JORDAN CHILD CARE-NATOMAS PRESCHOOL		FACILITY NUMBER:	343605727
ADMINISTRATOR:	CHRISTINE BOESCH		FACILITY TYPE:	850
ADDRESS:	2800 STONECREEK		TELEPHONE:	(916) 646-1266
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY:	45	CENSUS: 12	DATE:	10/26/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Hector Ramos		TIME COMPLETED:	03:30 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	Licensing Program Analyst (LPA) Michelle Pascual met with Site Supervisor Hector Ramos and Centers Manager Karen Hamman for the purpose of an unannounced annual random inspection. Upon arrival, there were twelve (12) children present. All staff had criminal record clearance. The facility is open Monday-Friday from 07:00 am to 06:00 pm. The facility provides meals and snacks. LPA toured the facility inside and out for a health and safety inspection. Physical plant- There are no firearms or bodies of water on the premises. The facility appeared orderly and suitable for children. Cleaning supplies and hazardous items were inaccessible to children. Medication is stored in a safe place inaccessible to children in care. Outdoor activity space and equipment was in good repair. Uncontaminated drinking water is available both indoors and outdoors. Facility has a current fire/disaster drill log. LPA observed a first aid kit. LPA observed that solid waste storage vessels/bins had tight fitting covers on and in good repair. All toilets and hand washing facility is safe and sanitary operating condition. Facility has license, parent’s rights, emergency evacuation, and car seat safety posted. Facility Administration- The department has inspection authority. LPA observed that at least one staff member has current CPR (exp 12/21) and Pediatric First Aid. LPA reviewed the Departments inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days. Evaluation of care and supervision- LPA observed that all children were being supervised during the inspection. Capacity and ratio requirements were being met. FACILITY RECORDS REVIEW- children’s records included emergency contact. Staff personnel record contained documentation of the educational backgrounds, training, and or experience. continued on subsequent page 809C

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

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: B.J. JORDAN CHILD CARE-NATOMAS PRESCHOOL	FACILITY NUMBER: 343605727
	VISIT DATE: 10/26/2021

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed and this facility is currently providing EMS. 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.

The facility evaluation report was reviewed and discussed with the licensee. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the department’s website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. Their signature on this form acknowledges receipt of this form.

Based upon today’s inspection, no Title 22 deficiency was cited.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

LIC809 (FAS) - (06/04)

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