343619553-8-29-2019-03-CC-MLOR-BFHNYU-20190829105318

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343619553
Report Date: 08/29/2019
Date Signed: 08/29/2019 10:53:24 AM

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:	ROBERT J FITE CDC		FACILITY NUMBER:	343619553
ADMINISTRATOR:	DIANNA ESPARZA		FACILITY TYPE:	850
ADDRESS:	9561 FITE SCHOOL ROAD		TELEPHONE:	(916) 688-3310
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95829
CAPACITY:	21	CENSUS: 14	DATE:	08/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Dianna Esparaza		TIME COMPLETED:	11:00 AM

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) Mai Lor and Jeevun Birk-Miller met with Director Dianna Esparaza for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included 14 preschool children supervised by three staff members who all have obtained a criminal record clearance through Community Care Licensing. The preschool license operates in portable classroom #1. The license offers two half-day programs from 8:30am to 11:30am and from 12:30pm-3:30pm. The program provides snacks. LPAs toured all activity and classroom spaces, restrooms, food service, and outdoor play areas.Facility currently does not have any medications on site; however, there are locked boxes in each portable classrooms when needed. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPAs observed full legal signatures while reviewing the hand-written sign in and sign out sheet. Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification, which expires on 01/17/2021. All staff records contained the required documentation. A current fire drill log was observed with the last one conducted on August 2019. (Report continues on 809-C)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

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: ROBERT J FITE CDC	FACILITY NUMBER: 343619553
	VISIT DATE: 08/29/2019

NARRATIVE

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LPAs reminded Director that 100% supervision is required at all times, including in the bathroom. LPAs 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. LPAs provided the Director with a Lead Effect Exposure brochure.

The facility is providing Incidental Medical Services. 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: www.ada.gov/childqanda.

Director was encouraged to the visit the department's website at www.ccld.ca.gov for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

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.

An exit interview was conducted. No deficiencies were observed at the time of the inspection.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

LIC809 (FAS) - (06/04)

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