343617554-11-4-2021-03-CC-ATIY-C8FQZ4-20211104123608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343617554
Report Date: 11/04/2021
Date Signed: 11/04/2021 12:36:15 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:	MERRYHILL SCHOOL-MIDTOWN		FACILITY NUMBER:	343617554
ADMINISTRATOR:	IMAGIRE, WENDI		FACILITY TYPE:	850
ADDRESS:	2600 V STREET		TELEPHONE:	(916) 429-6055
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95818
CAPACITY:	24	CENSUS: 19	DATE:	11/04/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Rachel Kennedy		TIME COMPLETED:	01:00 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 Analysts (LPAs) Alize Tillery and Tanya Washington met with Administrator Rachel Kennedy for the purpose of an unannounced required 1 year annual inspection. Upon arrival, LPA observed 19 preschool children, supervised by 2 staff. The facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM. LPAs toured all activity and classroom spaces (Jr-K classroom), restrooms and one outdoor play area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and daily schedule. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. Director stated there are no poisons, bodies of water or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility and program only provides snacks. Drinking water is readily available to children both indoors and outdoors. Director stated that children bring their own drinking water bottles, which are used both indoors and outdoors, and filtered water is available. LPAs reminded Administrator to ensure that the outside water jug is cleaned daily and checked before use. LPAs observed the facility’s sign in and out sheet, a complete Children’s roster, and current fire drill log. Playground equipment and surfaces are free of loose or sharp parts. There are sufficient equipment and toys. There are shaded areas supplied by a tent. LPAs observed two loose fence boards; Administrator stated that she has submitted a maintenance request to have the boards fixed. Report continues on 809-C.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021

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: MERRYHILL SCHOOL-MIDTOWN	FACILITY NUMBER: 343617554
	VISIT DATE: 11/04/2021

NARRATIVE

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All staff and ten children's records were reviewed. Each child's file was observed to be complete and LPAs provided updated forms to be provided to newly enrolled children. LPA observed complete staff files and least one staff member present today has a current Pediatric CPR and First Aid certification which expires 2/20/2023. LPAs reminded Administrator that 100% supervision is required at all times. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reviewed the Department's inspection authority and discussed with designee 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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 is 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

Administrator was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

In the areas observed, no deficiencies were cited. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Administrator, Rachel Kennedy.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021

LIC809 (FAS) - (06/04)

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