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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343609391
Report Date: 06/13/2024
Date Signed: 06/13/2024 04:28:48 PM


Document Has Been Signed on 06/13/2024 04:28 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 - MARINA VISTA EARLY LEARNING CENTERFACILITY NUMBER:
343609391
ADMINISTRATOR:DANIELS, CHERIAFACILITY TYPE:
850
ADDRESS:263 SEAVEY CIR.TELEPHONE:
(916) 563-5120
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY:78CENSUS: 26DATE:
06/13/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lynda de La Mora & Carman Osorio RuizTIME COMPLETED:
05:00 PM
NARRATIVE
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On June 13, 2024 at 1:30 p.m., Licensing Program Analyst (LPA) Pa Dao Vang met with Lynda de La Mora (Program Officer) and Carman Osorio Ruiz (Site Supervisor), for an unannounced case management inspection to follow up on an Unusual Incident Report submitted to the regional office on 5/23/2024.

Upon arrival, LPA observed 26 preschool children supervised by 6 staff. LPA also conducted interviews and made observations of the classrooms. LPA learned S1 took C1 to the restroom adjacent to the outside yard at the end of the day. S2 offered to stand between the doorway to supervise C1 using the restroom. As another parent came in to pick up, S2 briefly turned attention to the parent signing out. S2 thought C1 had exited the restroom to the playground and closed the door. S2 updated the transition wipe board with the numbers of children. S3 entered the classroom and found C1 left unattended for a minute. Parent was also notified about the incident the next day.

LPA informed facility representatives, de La Mora and Osorio Ruiz, in which this report is dated 6/13/2024, documents a Type A citation. A Notice of Site Visit be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed representatives to provide a copy of this licensing report dated 6/13/2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with facility representatives, de La Mora and Osorio Ruiz. A copy of this report, appeal rights and copy of LIC9224 were also provided.

SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024
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 06/13/2024 04:28 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: SETA - MARINA VISTA EARLY LEARNING CENTER
FACILITY NUMBER: 343609391

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/14/2024
Section Cited
CCR
101299(a)(1)

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101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1).
This Requirement was not met as evidence by:
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On 6/5/2024, Facility Representatives completed an all day training regarding health & safety plans, review power point of safety plans, proper supervsion & transitions, proper call & response, & clear communication. Facility representative will email LPA a copy of the signed agenda.
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Based on interviews and observation, LPA learned S2 left C1 unattended in the restroom for a minute, which poses an immediate risk to the health, safety, and personal rights of the children in care.
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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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Dao VangTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024
LIC809 (FAS) - (06/04)
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