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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616406
Report Date: 02/18/2020
Date Signed: 02/18/2020 02:01:51 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:ST. PATRICK SUCCEED ACADEMY PRESCHOOLFACILITY NUMBER:
343616406
ADMINISTRATOR:FIFFICK, JULIAFACILITY TYPE:
850
ADDRESS:5945 FRANKLIN BLVDTELEPHONE:
(916) 421-4963
CITY:SACRAMENTOSTATE: CAZIP CODE:
95824
CAPACITY:54CENSUS: 28DATE:
02/18/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Julia FiffickTIME COMPLETED:
02:05 PM
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Licensing Program Analyst (LPAs) Rosie Pitts and Tanya Washington met with Director Julia Fiffick for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations, and capacity specified on the license. Upon arrival LPAs observed 28 preschool children being supervised by 3 staff. All staff currently at the facility have criminal record clearances. Facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM.

LPAs toured all activity and classroom spaces, restrooms, food service, and outdoor play areas. Director stated there are no medications or poisons 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. The areas around or under climbing equipment are cushioned with materials to absorb the fall. Toileting facilities are in safe, sanitary, and operating condition. LPAs observed sufficient napping equipment. The floors appeared clean throughout the facility. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste do not have lids. Program provides am and pm snacks. Parents provide lunch, with an option to purchase school lunch. Menus were posted and drinking water was readily available to children both indoors and outdoors. Facility utilizes a classroom roster for manual sign in and out. LPAs reminded Director that 100% supervision is required at all times, including in the bathroom. There are no firearms or bodies of water on the premises. LPAs observed a functional smoke and carbon monoxide detector.

Report continued on 809-C

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

DATE: 02/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020
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 3
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: ST. PATRICK SUCCEED ACADEMY PRESCHOOL
FACILITY NUMBER: 343616406
VISIT DATE: 02/18/2020
NARRATIVE
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A sample of children's records were reviewed. Each child's file contained an emergency card and a consent for medical treatment. A sample of staff records were reviewed. A health screening report, and documentation of educational background, training, and/or experience was verified. At least one staff member present today has current Pediatric CPR and First Aid training certification and expires 08/10/2020. LPAs discussed AB1207 Mandated Reporter Training requirements. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ . Director understands that the mandated reporter training as well as CPR training must be completed every two years, and proof of completion must remain in the facility’s file.

This facility provides Incidental Medical Services (IMS). LPAs 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

LPA discussed and provided the “Effects of Lead Exposure” brochures and advised the Site Supervisor to share the brochures with parents. 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.



Title 22 deficiencies cited on the attached LIC 809D. This facility evaluation report was reviewed and discussed with the licensee. A notice of site visit was issued and must remain posted for 30 days. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. Licensee acknowledged that a copy of this report will remain on file for a period of three years for public review upon request. Appeal Rights were also issued and discussed.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ST. PATRICK SUCCEED ACADEMY PRESCHOOL
FACILITY NUMBER: 343616406
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2020
Section Cited

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Fixtures, Furniture, Equipment and Supplies All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on; shall be in good repair;
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This requirement was not met as evidenced by: LPAs observed garbage cans in and outside the classroom that contained solid waste with no cover, which poses a potential risk to children in care
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Type B
03/18/2020
Section Cited

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(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement is not met as evidenced by:
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LPAs reviewed 2 incomplete staff files. This poses a potential risk to children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Rosie PittsTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 02/18/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2020
LIC809 (FAS) - (06/04)
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