<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619995
Report Date: 09/20/2019
Date Signed: 09/20/2019 11:55:40 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:RIO LINDAFACILITY NUMBER:
343619995
ADMINISTRATOR:HAYCOX, SARAFACILITY TYPE:
850
ADDRESS:631 L STREETTELEPHONE:
(916) 566-1600
CITY:RIO LINDASTATE: CAZIP CODE:
95673
CAPACITY:48CENSUS: 14DATE:
09/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:May Xiong YangTIME COMPLETED:
12:20 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
LPA Kelly met with the site supervisor, Ms. May Xiong Yang for an annual inspection. LPA toured the facility, including all activity/classrooms areas, the isolation area, food service area, restrooms and outdoor play areas for rooms 19 & 20. LPA reviewed care and supervision of children, staffing ratios, health related services, including medications and first aid supplies, furniture, equipment, fire drills, drinking water and food service provisions. There were 14 children and 4 staff present today in the Toddler's room 19, the preschool program in room #20 were not present today.

LPA observed all required forms to be posted. Staff stated currently there are 5 children on medication in the preschool room and in the toddler's room there are 3 children on medication. The center has a locked box for storage of medications that is inaccessible to children in care. Some first aid materials were available. The children do not napped at the center. There are adequate toys and equipment available for children. The restrooms were observed to be in working order. The center provides breakfast, lunch and snack for the children, that is provided by the District.

The center Preschool hours in Rm# 20 are from 8:am to 2:30pm M-Th & one Friday a month. The Toddler Program in Rm# 19 schedule is M-F 8:00am to 2:30pm .

LPA reviewed the sign/in-sign/out sheet. Children Emergency Contact, and Personnel records. At least one staff member present today has current Pediatric CPR and First Aid.
LPA provided the Licensing Agency website (www.ccld.ca.gov), so the director and/or staff may obtain updated licensing information, regulations, and forms.

There are no deficiencies cited for this visit.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Socorro KellyTELEPHONE: (916)216-7792
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019
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 1