343609391-1-30-2020-03-CC-KGOL-BLBRGC-20200130120030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343609391
Report Date: 01/30/2020
Date Signed: 01/30/2020 12:00:35 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 - MARINA VISTA EARLY LEARNING CENTER		FACILITY NUMBER:	343609391
ADMINISTRATOR:	DANIELS, CHERIA		FACILITY TYPE:	850
ADDRESS:	263 SEAVEY CIR.		TELEPHONE:	(916) 263-3804
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95818
CAPACITY:	78	CENSUS: 48	DATE:	01/30/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Cheria Daniels		TIME COMPLETED:	12:30 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), Goodell met with director Cheria Daniels for an unannounced Annual Inspection. The facility hours of operation are Monday- Friday, 8am-5pm. LPA arrived during naptime and observed 6 children present with 3 staff in toddler room, 17 children with 2 staff in the outdoor area, 9 children escorted to outdoor area by 2 staff and 16 children with 3 staff in the upstairs classroom (class X). All individuals present have obtained fingerprint clearance through Community Care Licensing. LPA observed required postings: Facility License (LIC 203A), Personal Rights (LIC9040), Emergency Disaster Plan (LIC610), Earthquake Preparedness Checklist (LIC9148), and Parent’s Rights Poster (PUB393). LPA toured all four classrooms and observed play equipment, napping equipment, food service area, and restrooms. LPA observed the electronic sign/in-sign/out system. Facility provides breakfast, snacks and lunch. LPA observed a current menu and activity schedule posted in each classroom. LPA observed outdoor areas and play equipment. Water is accessible to children both indoor and outdoor. LPA observed fire extinguisher 3A40BC, smoke and carbon monoxide detectors. LPA observe fire drill log and children roster maintained. LPA reviewed children files. Documents included Identification and Emergency Information (LIC700), Child’s Preadmission Health History (LIC702), Child’s Preadmission Health Evaluation (LIC701), Consent for Medical Treatment (LIC627), Notification of Parent’s Rights (LIC 995), Personal Rights (LIC613A). Report Continues on LIC-809C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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 - MARINA VISTA EARLY LEARNING CENTER	FACILITY NUMBER: 343609391
	VISIT DATE: 01/30/2020

NARRATIVE

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LPA reviewed staff files and educational requirements. Documents included Health Screening Report (LIC503), TB Clearance, Personal Record (LIC501), Criminal Record Statement (LIC508), Notice of Employee Rights, Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC9108) and certificate for Mandated Reporter Training. LPA observed 5 files of current staff were incomplete. LPA provided copy of LIC 859 listing documents missing in each file. Staff acknowledged requirement and stated documents will be obtained and completed. LPA observed that at least one staff member present during today’s inspection has current Pediatric CPR/First Aid that expires on 11/1/21.

LPA provided the Community Care Licensing website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations, self-assessment guides and access forms. LPA advised the director of their responsibility to stay current in regards to new regulations.

No Title 22 deficiency cited on LIC 809-D. Report reviewed and provided copies. Appeal Rights also issued and discussed. Notice of Site Visit issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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