343616158-2-19-2021-03-CC-JHOA-BYDT5M-20210219132542

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343616158
Report Date: 02/18/2021
Date Signed: 02/19/2021 01:25:47 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:	SACRAMENTO ADVENTIST ACADEMY		FACILITY NUMBER:	343616158
ADMINISTRATOR:	SHARI THOMPSON		FACILITY TYPE:	850
ADDRESS:	5601 WINDING WAY		TELEPHONE:	(916) 481-2300
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	24	CENSUS: 17	DATE:	02/18/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Shari Thompson		TIME COMPLETED:	11:00 AM

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On 2/18/21 at 10:00am, Licensing Program Analyst (LPA), Jan Hoshida, conducted a case management inspection via FaceTime with Director, Shari Thompson. The purpose of this inspection was to provide technical assistance and ensure the facility is safe for the care and supervision of the children. Due to COVID-19 State of Emergency, a Licensed Child Care Program Waiver was granted on 2/12/21 to temporarily utilize the unlicensed classroom space (previously a Kindergarten classroom of the private school) to allow for smaller cohort groups and maintain social distance protocols. The facility will maintain their current licensed capacity of 24 preschool children. An approved temporary fire clearance for this facility is on file. During the tele-inspection, there were 17 preschool children supervised by 4 staff.

The preschool program operates from Monday to Friday from 7:30am to 5:30pm. LPA virtually toured the unlicensed classroom which is directly next to the licensed preschool classroom. LPA observed age-appropriate furnishings, toys and materials. LPA observed 2 toilets and 2 sinks available for the children to use and a changing table within the unlicensed classroom. In addition, LPA toured the existing outdoor playground area with age-appropriate equipment. LPA observed an area at the entrance designated for sign in/out, temperature/health checks and COVID-19 information. Public health posters and the waiver were seen at entrance and throughout the facility. The facility provides morning and afternoon snacks. Children bring their own water bottles which can be refilled within the center.

LPA reminded the Director that all children are to be supervised at all times and should never be left alone. Staff conduct regular cleaning and sanitizing within the facility throughout the day. LPA reminded Director to store cleaning supplies out of reach of children. Staff were observed wearing face masks. Cohort guidance was discussed. A first aid kit is on site. An isolation area and the staff restroom will be used in case child feels ill.

REPORT CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021

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: SACRAMENTO ADVENTIST ACADEMY	FACILITY NUMBER: 343616158
	VISIT DATE: 02/18/2021

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Department of Public Health and Community Care Licensing will be contacted in regards any COVID-19 illness. The facility will follow the Childcare Guidance on group size, face coverings, social distancing, health screening, hand washing, cleaning and sanitation.

A Notice of Site Visit was provided and should remain posted for 30 days.

Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021

LIC809 (FAS) - (06/04)

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