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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615668
Report Date: 02/16/2023
Date Signed: 02/16/2023 04:40:41 PM

Document Has Been Signed on 02/16/2023 04:40 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SIERRA VIEW ELEMENTARY SCHOOLFACILITY NUMBER:
343615668
ADMINISTRATOR:REEM ZIDANFACILITY TYPE:
850
ADDRESS:3638 BAINBRIDGE DRIVETELEPHONE:
(916) 566-1960
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 24TOTAL ENROLLED CHILDREN: 27CENSUS: 14DATE:
02/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Reem ZidanTIME COMPLETED:
11:00 AM
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On Thursday, February 16, 2023, Licensing Program Analyst (LPA) Tanya Washington met with the Facility Representative Reem Zidan, for an unannounced one year annual inspection. Upon arrival, LPA observed care and supervision of fourteen children with two staff. Shortly after LPAs arrival (ECE TOSA) Teacher on Special Assignment, Christine Bellucci arrived to the facility to assist the LPA with the remainder of the inspection. Facility is operating within the capacity and in compliance with staff child ratio on this day. The facility hours of operation are Monday through Friday from 8:00 AM to 11:00 AM and from 12 PM to 3 PM. The facility does not offer transportation services. Facility provides lunch only to both AM and PM programs.

LPA and TOSA, Bellucci toured the grounds of the facility inside and out. LPA observed the facility has a functioning smoke detector, carbon monoxide detector, first aid supplies and a working telephone. There is fully charged fire extinguisher. All of the cleaning solutions, poisons and other chemicals that are dangerous to children are stored out of children's reach. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility Representative stated that children do not take naps due to part time schedules. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste are in good repair and have proper tight - fitted lids. Facility has drinking water available for children inside and outside. Facility Representative stated they use single use cups for children and bring out a clean jug of water for outdoors every time. All food is protected from contamination, the lunches are prepared at the cafeteria of the Sierra View Elementary school, children eat lunch in the cafeteria under the supervision of staff. Facility Representative stated that currently there are no enrolled children requiring medication.
The play structure is age appropriate and is in good repair, LPA did not observe and sharp or loose parts. There is a sufficient amount of bark under the play structure to prevent a fall injury. There is a shared playground waiver on file. Facility staff follow the shared playground schedule.

Continued on LIC809C
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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: SIERRA VIEW ELEMENTARY SCHOOL
FACILITY NUMBER: 343615668
VISIT DATE: 02/16/2023
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LPA reviewed the facility records. Facility Representative stated stated, they use "Learning Genie" electronic sign in and out system and in case of power outage a paper sign in and out system is available. LPA observed the facility has license and all of the other required documents posted at the entrance of the classroom visible for the public.

LPA reviewed five random children's and two staff files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Facility Representative has a current CPR and First Aid certification which is valid until 05/2023. LPA observed that staff present are fully qualified and have the required ECE courses. LPA observed a current fire drill log. Facility has an updated children roster on file. Facility is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed required certification in each staff file.

All Child Care Centers (CCCs) that are located in buildings constructed before January 1, 2010 must have their drinking water tested for lead and post the results by January 1, 2023 and every 5 years after the date of the initial test. For a license issued on or after July 1, 2022, the CCC must have its water tested and post the results within 180 days of licensure. This facility has the water tested and submitted the result report to the department.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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

LPA encouraged facility representative to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility Representative can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for quarterly updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to TOSA, Bellucci. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
LIC809 (FAS) - (06/04)
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