343617159-9-11-2019-03-CC-KGOL-BFWTX6-20190911150637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343617159
Report Date: 09/11/2019
Date Signed: 09/11/2019 03:06:46 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:	SETA - NORTH AVENUE HEAD START		FACILITY NUMBER:	343617159
ADMINISTRATOR:	FRANKLIN, ANA		FACILITY TYPE:	850
ADDRESS:	1281 NORTH AVENUE		TELEPHONE:	(916) 263-3800
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95838
CAPACITY:	80	CENSUS: 45	DATE:	09/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Nikki Whiten		TIME COMPLETED:	03:45 PM

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	Licensing Program Analyst (LPA) Kristal Goodell met with Site Supervisor Nikki Whiten for an unannounced Annual Inspection. Upon arrival LPA observed 7 children from classroom #21 in the outdoor area with 2 staff. LPA also conducted a census of 16 children in classroom #19 with two staff, 7 children in toddler classroom #22 with two staff, 15 children in classroom #23 with 2 staff. The Facility’s hours of operation are Monday- Friday, 8:am - 4:30pm. Staff members present during inspection have all been finger-print cleared through Community Care Licensing. LPA toured the facility including all activity/classroom areas, food service areas and restrooms. Site Supervisor stated that the facility provides breakfast, lunch and afternoon snack and meals are delivered from a kitchen off-site. LPA observed a carbon monoxide, fire extinguisher 3A40BC and fire-drill log in each classroom. LPA observed a current menu posted in each classroom, in addition to a fridge and sink. LPA observed cleaning compounds are inaccessible to children. In addition, LPA did not observed poisons, firearms or bodies of water during inspection. LPA observed medications are centrally stored and inaccessible to children. LPA observed children's emergency information are located in a binder in each classroom. LPA observed the preschool and toddler outdoor activity spaces and playground equipment. LPA also observed that drinking water is made readily available to children both indoors and outdoors. LPA reviewed children’s files. LPA also reviewed staff files. During review of staff files, LPAs observed that at least one staff member present during today’s inspection has a current Pediatric CPR/First Aid which expires on 10/12/2020. Report continues on LIC 809C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

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: SETA - NORTH AVENUE HEAD START	FACILITY NUMBER: 343617159
	VISIT DATE: 09/11/2019

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LPA obtained the facility’s email address to enroll in Quarterly Updates. In addition, LPAs provided the Community Care Licensing website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations, self-assessment guides, and access forms. LPA advised the director of their responsibility to stay current in regards to new regulations and the name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

No Title 22 Deficiencies cited. LPA reviewed report with the director and provided copies. Notice of Site Visit issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

LIC809 (FAS) - (06/04)

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