343614445-8-30-2023-03-CC-ASIS-CV7PS9-20230830113358

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343614445
Report Date: 08/30/2023
Date Signed: 08/30/2023 11:34:11 AM

Document Has Been Signed on 08/30/2023 11:34 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	OAKDALE PRESCHOOL		FACILITY NUMBER:	343614445
ADMINISTRATOR:	JONES, LEICA		FACILITY TYPE:	850
ADDRESS:	3708 MYRTLE AVENUE		TELEPHONE:	(916) 566-1910
CITY:	NORTH HIGHLANDS	STATE: CA	ZIP CODE:	95660
CAPACITY:	22	CENSUS: 15	DATE:	08/30/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Leslie Mitchem		TIME COMPLETED:	11:40 AM

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	Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Tanya Washington met with Site Supervisor, Leslie Mitchem for the purpose of a case management inspection. Licensee requests a change of capacity to serve 24 children from age 2 years to entry into kindergarten and 8 toddlers age 18-36 months under the Toddler Option Program. The program operates Monday through Friday from 8:00 a.m. to 2:30 p.m. The fire clearance was received and granted on 7/27/2023. INDOOR ACTIVITY SPACE: There is one preschool classroom in room #31 and one toddler classroom in room #32. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. AS used current measurements from reports dated 7/16/2020 and 9/17/2021, therefore AS did not take measurements. The total classroom space contains a total of 1,446 square feet, which will accommodate Licensee's request for 24 preschool children and 8 toddlers. There are two toilets and three sinks in the preschool classroom and two toilets and three sinks in the toddler classroom. There is a separate private restroom for the staff located at the elementary school. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). OUTDOOR ACTIVITY SPACE: There is one outdoor area on the property. AS observed a Shared Outdoor Space Waiver on file and separate outdoor schedules posted. AS used current measurements from report dated 9/17/2021, therefore AS did not take measurements. The outdoor play area contains a total of 2,836 square feet, which will accommodate Licensee's request for 24 preschool children and 8 toddlers. Report continues on LIC809-C.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

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: OAKDALE PRESCHOOL	FACILITY NUMBER: 343614445
	VISIT DATE: 08/30/2023

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Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Supervisor, Leslie Mitchem.

The following items are required before the toddler option program and change of capacity will be approved:
1. Director/Site Supervisor packet for Leslie Mitchem
2. Toddler Teacher Job Description
3. Updated Emergency Disaster Plan (LIC610)
4. Updated Personnel Report (LIC500)

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC809 (FAS) - (06/04)

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