343621616-5-17-2019-03-CC-KFEA-BC9QHA-20190517121049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343621616
Report Date: 05/17/2019
Date Signed: 05/17/2019 12:10:54 PM

COMPREHENSIVE INSPECTION

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:	LIFE TIME ATHLETIC - FOLSOM		FACILITY NUMBER:	343621616
ADMINISTRATOR:	SCOVILLE, DONNA		FACILITY TYPE:	840
ADDRESS:	110 HEALTHY WAY		TELEPHONE:	(916) 597-9100
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	150	CENSUS: 0	DATE:	05/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Justine Voeller		TIME COMPLETED:	12:30 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 Analyst (LPA) Kelly Ferrara met with Director Justine Voeller for the purpose of an unannounced random annual inspection of Kids Summer Camp within the Life Time Athletic Club. There are two other child care programs on site that are exempt from Licensing. LPA toured the areas of the facility that are licensed through Community Care Licensing which include: the Activities Studio, Kids Academy (Tumbling Studio, Language and Arts Studio, Kids Gym), Basketball Court, Education Center, Tennis Courts, Indoor Pool, and Outdoor Pool. The Summer Camp uses the Tumbling Studio, Language/Arts Studio, Kids Gym and Activity Studio when not in use by the exempt child care on site. Director stated that Kids Camp does not begin this year until June 3rd, 2019 and there were no children on site during the inspection. The program operates Monday - Friday from 8:00AM -6:00PM with the option of early/express drop off from 7:00 AM-8:00AM operating year round and anytime when school is not in session. Lifetime Kids Camp children wear wrist bands while in care to distinguish them from the other programs. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. LPA reviewed the Department's inspection authority and discussed with the director 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. The rooms used by the children all appeared clean including the carpets and floor. In the outdoor areas such as the tennis courts and pool area, there is shade provided by umbrellas and uncontaminated drinking water readily available to children. There are multiple Carbon Monoxide detectors and smoke alarms located throughout the building. A menu is posted and lunch is provided by the parents or they have food available to them from the cafe on premises, and AM and PM snacks are available. Director stated that the camp is set up daily on the basketball court where the children eat lunch and parents sign the children in and out on an iPad. All cleaning supplies were stored inaccessible to children in care. Toileting facilities are in safe, sanitary, and operating condition and there is a waiver on file to use the restrooms that are also used by non camp members.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

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: LIFE TIME ATHLETIC - FOLSOM	FACILITY NUMBER: 343621616
	VISIT DATE: 05/17/2019

NARRATIVE

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There are two pools on site that the children use, one indoor and one outdoor. There are lifeguards on duty and staff are with the children at all times. There is a waiver on file for the pool area, however the Director stated that she will be submitting in writing changes that she would like to make regarding the waiver.

Previous staff and children's records were reviewed and the all files had the required documentation. Director stated that they are in the process of getting documentation for the new staff that were hired and new children that will begin camp this year. The Director has a current Pediatric CPR and First Aid certification that expires in October 2020. The Director stated that they conduct a fire drill every Monday when the children are in care.

Incidental Medical Services (IMS) is provided by this facility. There is a first aid box with the appropriate supplies. For additional IMS information, director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

This facility evaluation report was reviewed and discussed with the Director. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

LIC809 (FAS) - (06/04)

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