343621935-3-2-2020-03-CC-JHOA-BMBSC3-20200302124452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343621935
Report Date: 03/02/2020
Date Signed: 03/02/2020 12:44:57 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:	ROBERT J. MCGARVEY SCHOOL-AGE PROGRAM		FACILITY NUMBER:	343621935
ADMINISTRATOR:	HERNANDEZ, GINA		FACILITY TYPE:	840
ADDRESS:	4350 SOPHISTRY DRIVE		TELEPHONE:	(916) 340-8019
CITY:	RANCH CORDOVA	STATE: CA	ZIP CODE:	95742
CAPACITY:	70	CENSUS: 11	DATE:	03/02/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Mary Elizabeth Crockett		TIME COMPLETED:	01:00 PM

NARRATIVE

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On Monday, 3/2/20, at 11:50 a.m., Licensing Program Analyst (LPA), Jan Hoshida, conducted an unannounced Case Management inspection and met with Teacher, Mary Elizabeth Crockett. The purpose of today’s inspection was to address Licensee’s request to increase the current school-age license capacity from 70 to 126 school-age children ages Kindergarten and up. LPA observed 11 school-age children supervised by two staff during this inspection. The facility has two classrooms (Classroom 1 and 2) within one portable building and is located on Robert J. McGarvey Elementary school campus. The hours of operation are Monday through Friday from 6:30 a.m. to 6:00 p.m. The program follows the Elk Grove Unified School District calendar, runs before and after school programs during the school year and full day program during the summer and other days the elementary school is closed or off track.

Licensee requested within the change of capacity application to use the elementary school’s cafeteria in addition to Classroom 1 and 2. The fire clearance was granted on 2/21/20.

The facility is located on a functioning public elementary school site therefore the classroom is exempt from square footage requirements. There are individual restrooms located within the classrooms with a total of two toilets and two sinks. There are three additional sinks within the classrooms. Teacher stated that the children also utilize the school bathrooms and that staff utilize the staff bathroom within the elementary school campus.

The outdoor play area is fenced with a play structure and basketball courts. Teacher stated that she uses a pop-up tent to provide shade for the outside play area. There is a working drinking fountain. The facility is located on a functioning public elementary school site therefore the outside activity space is exempt from square footage requirements.

REPORT CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

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: ROBERT J. MCGARVEY SCHOOL-AGE PROGRAM	FACILITY NUMBER: 343621935
	VISIT DATE: 03/02/2020

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After a revised application (LIC200A) is submitted, Licensee’s request for a capacity increase of the license to serve 126 school-age children, from ages Kindergarten and above, will be granted. No deficiencies were cited during today’s inspection.

LPA reviewed this report with the Teacher. A Notice of Site Visit was provided and Teacher acknowledged that she understands that it remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

LIC809 (FAS) - (06/04)

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