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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614421
Report Date: 11/01/2019
Date Signed: 11/07/2019 05:18:47 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:ROSEMONT PLAYSCHOOL, INC., MATHER PLAYSCHOOLFACILITY NUMBER:
343614421
ADMINISTRATOR:LINDEMAN, JILL MCGRAWFACILITY TYPE:
830
ADDRESS:10265 ROCKINGHAM DRIVE #150TELEPHONE:
(916) 366-5800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95827
CAPACITY:25CENSUS: 9DATE:
11/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Erwina Pascual-GolamcoTIME COMPLETED:
01:30 PM
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Licensing Program Analyst Rosie Pitts met with Enrollment Director Erwina Pascual-Golamco for an unannounced annual random visit. LPA toured the facility inside and out including all activity and classroom spaces, restrooms, food service and outdoor play areas. LPA observed 9 infants being cared for by 3 staff members. Director was reminded never to exceed the conditions, limitations and capacity specified on the license

Toxic and hazardous items are appropriately stored and inaccessible to infants. Furniture and materials are in good condition. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under climbing equipment are cushioned with materials to absorb the fall. The infant indoor and outdoor space is physically separate from the preschool. Infant changing tables are in safe/sanitary condition, and within arms reach of a sink. Toileting facilities are in safe and sanitary condition. Sufficient napping equipment was available. All infants, including those napping in cribs, are under visual observation at all times. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste had lids. Uncontaminated drinking water was readily available to children both indoors and outdoors. Facility utilizes an electronic sign in and sign out sheet. Infant bottles, dishes and containers are appropriately labeled. LPA observed proper storage of medication, equipment and supplies.



This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information, see "Regulation Interpretations and Procedures for Family Child Care Homes Section 102417" in the Evaluator Manual. When any IMS is provided, a Plan for Providing 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.

CONTINUED ON 809-C

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019
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: ROSEMONT PLAYSCHOOL, INC., MATHER PLAYSCHOOL
FACILITY NUMBER: 343614421
VISIT DATE: 11/01/2019
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A sample of children's records were reviewed. Quarterly updated Needs & Services plans were observed. A sample of staff records were reviewed. All staff currently present at the facility has obtained a criminal record clearance. A health screening report, and three child development units in infant/toddler care for infant teachers were observed. At least one staff member present today has current Pediatric CPR and First Aid training certification and expires 05/2020. Completion of AB1207 Mandated Reporter Training was verified for staff. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ . Director understands that both training's must be completed every two years and proof of completion must remain in the facility’s file. There are no baby walkers, infant bouncers, saucer chairs, johnny jumpers, or taco sleepers on the premises. There are no firearms or bodies of water on the premises. LPA reviewed 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. LPA discussed and provided the “Effects of Lead Exposure” brochures and advised the Site Supervisor to share the brochures with parents. LPA discussed Safe Sleep and issued the Healthy Schools Act survey. LPA provided the following link:http://www.cdss.ca.gov/inforesources/Community-Care-Licensing/subscribe for the Licensee to subscribe to the distribution list and receive Quarterly Updates.

This report was reviewed and discussed with the enrollment director. A notice of site visit was provided and shall remain posted for a period of 30 days for parental review. LIC 311A was provided and AB 2370 was discussed. Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

In the areas that were observed, no deficiencies were cited.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019
LIC809 (FAS) - (06/04)
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