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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343608870
Report Date: 04/06/2022
Date Signed: 04/07/2022 09:56:30 AM


Document Has Been Signed on 04/07/2022 09:56 AM - 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:BEANSTALK-CREST DRIVE PRESCHOOLFACILITY NUMBER:
343608870
ADMINISTRATOR:HERNANDEZ, JENNLLEFACILITY TYPE:
850
ADDRESS:4700 CREST DR.TELEPHONE:
(916) 419-8331
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:30CENSUS: 11DATE:
04/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Jennlle HernandezTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Michelle Pascual conducted an unannounced random annual inspection today. LPA met with Jennlle Hernandez, Director. Upon arrival LPA conducted a census and counted 11 preschool children being supervised by two Fully Qualified teachers and the Director. Operational hours are 8:30am to 11:30am and 12:45pm to 3:45pm. A tour of the facility was conducted inside and outside. The following areas are in compliance during the visit. There are no bodies of water. Storage for poisons are locked. Disinfectants, hazardous items and medications are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted and documented. Carbon Monoxide detectors were present and a fire extinguisher.


The playground equipment and outdoor activity space is maintained and in good condition. Wood chips are being used as cushioning for children. Children's toilets, hand washing facilities are sanitary. Floors are clean and free of debris. Drinking water is available both indoors and outside. Menus are posted. The facility is in compliance with conditions and limitations specified on the license. Sign in/sign out sheets are maintained. No excluded individuals are present. Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance (cpr exp 6/23). Mandatory Reporter was reviewed and in compliance for all staff (exp 05/2023) Emergency information and files reviewed for the majority of children present. All staff records were reviewed.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: BEANSTALK-CREST DRIVE PRESCHOOL
FACILITY NUMBER: 343608870
VISIT DATE: 04/06/2022
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Incidental Medical Services (IMS) are being provided and facility stores the medication separately. Facility is aware of how to administer medication when needed.

There are no nap times as the facility has an AM and a PM session.

Community Care Licensing website www.ccld.ca.gov, for all licensee and licensing information, new regulations and to access forms. LPA advised licensee of their responsibility to stay current in regards to new regulations. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

No Title 22 Deficiencies observed in the areas that were evaluated.

LPA reviewed report with the director and provided copies. An exist interview was conducted. LPA observed the Notice of Site Visit posted and the director understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2