343621353-1-28-2020-03-CC-TWAN-BL9Q74-20200128105432

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343621353
Report Date: 01/28/2020
Date Signed: 01/28/2020 10:54:38 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:	NATOMAS SCHOOL READINESS, NATOMAS PARK ELEMENTARY		FACILITY NUMBER:	343621353
ADMINISTRATOR:	SMITH, CHRISTINE		FACILITY TYPE:	850
ADDRESS:	4700 CREST DRIVE		TELEPHONE:	(916) 567-5516
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY:	24	CENSUS: 21	DATE:	01/28/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Tiffany Davidson and Inelva Carvajal		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) Tanya Washington and Joleen Kenney met with Tiffany Davidson, Early Learning Coordinator and Inelva Carvajal, Office Specialist for the purpose of an unannounced case management inspection. The purpose of the inspection was to approve a room change from room #125 to room # 503. The licensed capacity will remain the same. Facility was granted a fire clearance by Sacramento City Fire Department which was received in Sacramento Regional Office on 01/15/2020. Facility is operating an AM session from 8 AM to 11 AM and a PM session from 12 PM to 3 PM. A health and safety inspection was conducted in all areas accessible to children. LPAs measured classroom #503. The total indoor capacity for the classroom is 868 square feet which is enough space to accommodate Licensee's request for 24 children. There are two toilets and one sink, which does not meet requirements. Title 22 Regulation requires 1 sink and 1 toilet per 15 children. Currently the facility has access to additional sinks and toilets on the school grounds. Licensee will come up with a plan to meet Title 22 regulations by 02/28/2020. LPAs observed a sufficient amount of chairs and tables. The facility provides breakfast for the AM session and supper for the PM session which is delivered to the classroom by the Natomas School District. LPAs observed a functional carbon monoxide detector, first aid kit, and medication box. Continued on LIC809C

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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: NATOMAS SCHOOL READINESS, NATOMAS PARK ELEMENTARY	FACILITY NUMBER: 343621353
	VISIT DATE: 01/28/2020

NARRATIVE

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The outdoor space was not measured during today's inspection. The facility has a waiver on file to share the outdoor space with the on site elementary school.

An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection. Coordinator's signature on this form acknowledges receipt of this report. A Notice of Site Visit was provided and should remain posted for 30 days for parental review.

The room change for classroom #503 is temporarily approved until it can be determined what accommodations can be made to meet the regulation requirements of the second sink in the classroom.

Coordinator was encouraged to visit the Department's website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC809 (FAS) - (06/04)

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