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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343606272
Report Date: 08/14/2023
Date Signed: 08/14/2023 03:33:30 PM


Document Has Been Signed on 08/14/2023 03:33 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:SETA - CROSSROADS HEAD STARTFACILITY NUMBER:
343606272
ADMINISTRATOR:VOLCHANSKY, LANAFACILITY TYPE:
850
ADDRESS:7322 FLORIN WOODS DRIVETELEPHONE:
(916) 563-5015
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:84CENSUS: 26DATE:
08/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lana VolchanskyTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with facility director, Lana Volchansky, for an annual inspection. Purpose of the inspection was explained. The facility operates between Monday to Friday from 8 AM to 5:00 PM. During the inspection today, there are 26 children in care, including five child in Toddlers classroom, with total eight staff members and director. Facility is operating with in the capacity and in compliance with staff child ratio on this day.

During inspection, LPA inspected the child care classrooms, bathrooms and play yard. LPA observed each classroom has fully charged fire extinguisher, pull fire alarms, smoke detectors, first aid supplies and working telephone. LPA observed 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. All toilets, hand washing facilities are in working condition with proper sanitation in place. Facility has drinking water available for children. All the food is stored in properly manner and has lid to avoid any contamination. Changing table in toddler classroom is properly sanitized and have sufficient amount of supplies. Each classroom has diet plan or restriction posted. LPA observed the play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of cushion material under the play structures to prevent any fall injuries. Facility has plenty of shaded area for the children to use.

LPA reviewed the facility records. LPA observed the facility has all of the required documents posted and are visible for the public. LPA observed that facility is using electronic sign in / out. LPA reviewed random children's files and staff files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Facility has immunization record of each child on file.
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SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SETA - CROSSROADS HEAD START
FACILITY NUMBER: 343606272
VISIT DATE: 08/14/2023
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LPA observed multiple staff members have valid CPR training certificates on file. Facility has staff educational units documentation on file. LPA observed the facility has fire drill log in place. Per log, last drill was conducted on July 17, 2023.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.LPA referred facility to the Department website for lead: Lead Toxicity Prevention and Water Testing Information

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA encourages the facility staff to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility 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, Lana Volchansky. 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: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2