343622007-7-30-2019-03-CC-KFEA-BEKSRD-20190730140611

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343622007
Report Date: 07/30/2019
Date Signed: 07/30/2019 02:06:17 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:	ICONIC KIDS CHILDCARE & LEARNING CENTER		FACILITY NUMBER:	343622007
ADMINISTRATOR:	THOMPSON, IONA		FACILITY TYPE:	830
ADDRESS:	6035 MAIN AVENUE		TELEPHONE:	(916) 542-7196
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	8	CENSUS: 3	DATE:	07/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Iona Thompson, Director		TIME COMPLETED:	02:30 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 Analysts (LPAs) Kelly Ferrara and Mai Lor met with Director Iona Thompson for the purpose of an unannounced random annual inspection. LPAs toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Appropriate ratio and care and supervision were observed during today's inspection. Census included three infants being supervised by one staff. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 6:30 AM- 6:00 PM.

LPAs observed a current Needs and Services plan for each infant in care. Bottles and baby food were kept in a refrigerator inside the classroom and were properly labeled with the child's name and date. Each crib has a fitted sheet and there were sheets and cots available for the older infants. The Director stated that the bedding is changed daily. There is a separate room for napping and all three infants were napping. Staff was present in the room and stated that she stays in the room while they are sleeping. Infant diaper changing area is clean and within arm's reach of a sink.

Classrooms all appeared clean including the carpets and floor. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under the climbing equipment are cushioned with enough material to absorb a fall and there is adequate shade. Uncontaminated drinking water was readily available to children both indoors and outdoors. There are no firearms or bodies of water on the premises, and the facility has at least one functioning carbon monoxide detector. Trash cans containing solid waste had lids. Menus were posted for lunch and AM and PM snack and other required licensing documentation was posted for parental review. LPAs observed binders where the parents are signing their children in and out of the center. Chemicals were stored inaccessible to children in the infant classroom.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

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 2

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: ICONIC KIDS CHILDCARE & LEARNING CENTER	FACILITY NUMBER: 343622007
	VISIT DATE: 07/30/2019

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
26
27
28
29
30
31
32

A sample of staff and children's records were reviewed. All files contained the required documentation. At least one staff member present today has current Pediatric CPR and First Aid certification that expires in April 2021. LPAs observed a current children's roster and fire drill log with the last drill conducted on July 2nd, 2019.

All staff currently employed with the facility has a criminal record clearance and are associated to the infant and preschool license. LPAs reviewed the Department's inspection authority and discussed with 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.

Incidental Medical Services (IMS) policy was discussed although there are no children currently enrolled with medication. The facility has a first aid box with ample 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. Director was advised to check the website within the next couple of months for updates on safe sleep practices.

No deficiencies were cited on the infant license at this time.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2