343616158-1-25-2023-03-CC-JGAG-CNEVNB-20230125153452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343616158
Report Date: 01/25/2023
Date Signed: 01/25/2023 03:34:58 PM

Document Has Been Signed on 01/25/2023 03:34 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:	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:	48	CENSUS: 23	DATE:	01/25/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Shari Thompson		TIME COMPLETED:	03:45 PM

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On January 25, 2023 at approximately 2:30 PM, Licensing Program Analyst (LPA) Josiah Gathing met with Director Shari Thompson for the purpose of an unannounced annual random inspection. LPA observed care and supervision of 23 preschool children by three fully qualified teachers. The facility has a maximum capacity of 48. The facility hours of operation are Monday through Friday from 7:00 AM to 5:00 PM.

LPA toured the classrooms, children’s restrooms, staff restroom, and outdoor play area. Director stated there are no firearms on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts and the ground below the play structure is sufficiently padded. Restrooms are in sanitary condition with functioning toilets. The floors were clean throughout the facility. Medications are stored in a high cabinet, out of children’s reach and labeled according to regulation.

LPA observed that solid waste containers were covered. Per Director, the facility provides snacks and parents provide meals daily. Drinking water was readily available to children both indoors and outdoors. LPA observed a sign in and out sheet which showed all children present with parent’s full signatures.

All present staff files were reviewed and found to be complete. LPA observed current Mandated Reporter certificate which will expire November 2, 2023 and current CPR and First Aid certificate which will expire May 28, 2023.

LPA observed the sample of children’s files contained the appropriate documents. LPA observed a complete children’s roster on file. LPA observed first aid equipment, functioning smoke and carbon monoxide detectors, pull alarms, and a fully charged fire extinguisher meeting regulation. Required documents were posted.

Report continues on LIC809-C…

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: SACRAMENTO ADVENTIST ACADEMY	FACILITY NUMBER: 343616158
	VISIT DATE: 01/25/2023

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LPA discussed Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

Facility Director was encouraged to the visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers.

No deficiencies were cited based on today’s inspection. Exit interview was conducted and report was reviewed with the Director. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023

LIC809 (FAS) - (06/04)

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