343617232-8-22-2019-03-CC-SDLA-BFARP3-20190822131116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343617232
Report Date: 08/22/2019
Date Signed: 08/22/2019 01:11:28 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:	TOWN AND COUNTRY PRESCHOOL		FACILITY NUMBER:	343617232
ADMINISTRATOR:	JESSICA TURNER		FACILITY TYPE:	830
ADDRESS:	2550 BELPORT LANE		TELEPHONE:	(916) 487-2036
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95821
CAPACITY:	22	CENSUS: 16	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Jessica Turner		TIME COMPLETED:	01:30 PM

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Licensing Program Analyst (LPA) Seychelle De Luca met with Director Jessica Turner 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 LPA observed 4 infant children with one staff member in the infant classroom and 12 infants and four staff in the outdoor area. Facility hours of operation are Monday through Friday from 6:30 AM to 6:00 PM.

LPA toured the two classrooms, kitchen, and outdoor play area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, menus, and daily schedule. Cleaning disinfectants, hazardous items, and medications are appropriately stored and inaccessible to children. Director stated there are no poisons on the premises. Furniture and equipment are in good condition. Infant changing tables have a padded surface that is washable and at least one inch thick, and the changing tables have raised sides that are at least three inches high. The floors appeared clean throughout the facility. The food preparation space is free of litter, all food was protected against contamination, and storage containers with solid waste have tight-fitting covers. Program provides breakfast, lunch, and afternoon snack. Parents provide bottled milk for younger infants. LPA observed these bottles are labelled and dated. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPA observed full legal signatures while reviewing the sign in and sign out sheet.

Three staff and four children's records were reviewed. Each child's file contained an emergency card, a health history, and Infant Needs and Services Plan. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 9/30/19). All staff currently employed with the facility have a

Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: TOWN AND COUNTRY PRESCHOOL	FACILITY NUMBER: 343617232
	VISIT DATE: 08/22/2019

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criminal record clearance, health screening report and Mandated Reporter training certificates. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. LPA reviewed the Department's inspection authority and discussed with Director any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

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 provided and discussed Safe Sleep, Heath Schools Act, Safe Sleep Environment, and Effects of Lead Exposure brochures. LPA provided and discussed the new immunization card.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. An exit interview was conducted.

A deficiency is cited on the subsequent page of this report under the California Code of Regulations, Title 22. Director was provided a copy of the Appeal Rights (LIC9058) and Director's signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: TOWN AND COUNTRY PRESCHOOL	FACILITY NUMBER: 343617232
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/22/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/06/2019 Section Cited CCR 101216.1	1 2 3 4 5 6 7	Teacher Qualifications and Duties. A photocopy of the teacher’s Child Development Permit or transcript(s) as specified shall be maintained at the child care center. This requirement is not met as evidenced by LPA reviewing Staff #1's transcripts and observing that Staff #1 was enrolled in Infant Development in Fall 2018.	1 2 3 4 5 6 7	Director will send LPA Staff #1's full transcripts by POC date: 9/6/2019.
	8 9 10 11 12 13 14	Proof that the courses were completed and passed was not available. LPA was unable to determine Staff #1's qualifications. Upon arrival, Staff #1 was alone with four infants. This poses a potential health and safety concern to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: 916-217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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