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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617232
Report Date: 08/04/2021
Date Signed: 08/04/2021 03:05:08 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 PRESCHOOLFACILITY NUMBER:
343617232
ADMINISTRATOR:JESSICA TURNERFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 487-2036
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:22CENSUS: 2DATE:
08/04/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Roberta ManleyTIME COMPLETED:
03:20 PM
NARRATIVE
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On 8/4/2021 at 8:45am, Licensing Program Analyst (LPA) Jan Hoshida conducted an unannounced case management inspection. LPA informed Director the reason for the inspection and was allowed within the facility. LPA met with Director, Roberta Manley.

At 8:46am, LPA observed an aide alone with two children in the outdoor play area.

Based on interviews, LPA learned that an aide is alone with the commingled preschool and infant children for about 25 minutes during the morning transportation runs when the school age children are taken to school. LPA learned that on 8/4/21 that from 8:05 am to 8:30am, there was only one aide on site with 10 preschool and infant children that were commingling.

Title 22 deficiency is cited on the subsequent page of this report.

Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Director shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
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 2
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: 08/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2021
Section Cited

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Infant Care Aide Qualifications and Duties. An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). This requirement is not met as evidenced by: LPA observed an aide alone
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supervising two children. Based on interviews, LPA learned that an aide is alone with the children for about 25 minutes during the morning transportation runs when the school age children are taken to school.
This poses an immediate health and safety concern.
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will create a staffing schedule that will ensure a fully-qualified teacher, not an aide, is available and present within the facility.

Director will submit schedule to LPA Hoshida by 8/5/2021.
Type A
08/05/2021
Section Cited

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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met at evidenced by: Based on interviews, LPA learned that aide is alone with commingled preschool and infant children
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for about 25 minutes during the morning transportation runs when the school age children are taken to school. LPA learned that on 8/4/21 that from 8:05 am to 8:30am, one aide had 10 preschool and infant children. This poses an immediate health and safety concern.
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preschool licenses as of 8/4/21.
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: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan HoshidaTELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:
DATE: 08/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2021
LIC809 (FAS) - (06/04)
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