343621354-11-13-2019-03-CC-SDLA-BHVSNU-20191113130208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343621354
Report Date: 11/13/2019
Date Signed: 11/13/2019 01:02:16 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:	NATOMAS SCHOOL READINESS, H. ALLEN HIGHT ELEM.		FACILITY NUMBER:	343621354
ADMINISTRATOR:	SMITH, CHRISTINE		FACILITY TYPE:	850
ADDRESS:	3200 NORTH PARK DRIVE		TELEPHONE:	(916) 567-5516
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY:	24	CENSUS: 20	DATE:	11/13/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Imelva Carvajal		TIME COMPLETED:	01:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Seychelle De Luca met with Site Supervisor Taylor Brandt for the purpose of an unannounced required three year inspection. Office Specialist Imelva Carvajal arrived during the inspection. Office Specialist was reminded never to exceed the conditions, limitations, and capacity specified on the license. LPAs observed 20 preschool children supervised by Site Supervisor and two staff. All criminal record clearances are obtained through the school district. Facility hours of operation are Monday through Friday from 8:00am to 11:00am and 12:00pm to 3:00pm, and the facility follows the school calendar.

LPAs toured classroom E-115, restroom, and outdoor play area. Site Supervisor stated there are no children who require medications. Office Specialist stated there are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. LPAs observed the two climbing structures have safety labels, which designate use for children ages 5-12 years old. LPAs advised Office Specialist to follow manufacturer guidelines. The areas around or under climbing equipment are cushioned with pour in rubber to absorb the fall. Toileting facilities are in sanitary and operating condition. The floors appeared clean throughout the facility. All food was protected against contamination. Facility program provides breakfast and supper. Office Specialist stated that food is prepared in the school cafeteria. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPAs reminded Office Specialist that 100% supervision is required at all times, including in the bathroom. There are no firearms or bodies of water on the premises. LPAs observed a functional carbon monoxide detector that is hardwired into the fire alarm system.

Report continued on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

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: NATOMAS SCHOOL READINESS, H. ALLEN HIGHT ELEM.	FACILITY NUMBER: 343621354
	VISIT DATE: 11/13/2019

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Three staff and four 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 (exp. 8/2020). LPA reviewed the Department's inspection authority and discussed with Office Specialist any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

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: http://www.ada.gov/childqanda.htm.

LPAs provided Effects of Lead Exposure brochure and new immunization card. This facility evaluation report was reviewed and discussed with Site Supervisor. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Site Supervisor was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. An exit interview was conducted and in the areas that were evaluated. A deficiency is cited on the subsequent page of this report under the California Code of Regulations, Title 22. Office Specialist was provided a copy of the Appeal Rights (LIC9058) and Office Specialist's signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

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, H. ALLEN HIGHT ELEM.	FACILITY NUMBER: 343621354
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/11/2019 Section Cited	1 2 3 4 5 6 7	Teacher Qualifications and Duties. A photocopy of the teacher’s Child Development Permit or transcript(s) as specified shall be maintained at the child care center. This requirement is not met as evidenced by LPAs observing that Staff #1 has transcripts, but some are missing. LPAs are unable to qualify Staff #1 without full
	8 9 10 11 12 13 14	transcripts. This poses a potential health and safety concern.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

LIC809 (FAS) - (06/04)

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