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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622020
Report Date: 10/17/2022
Date Signed: 10/17/2022 01:48:49 PM


Document Has Been Signed on 10/17/2022 01:48 PM - It Cannot Be Edited

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-TWO RIVERSFACILITY NUMBER:
343622020
ADMINISTRATOR:GARCIA, AMANDAFACILITY TYPE:
850
ADDRESS:3201 W. RIVER DRIVETELEPHONE:
(916) 567-5520
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:24CENSUS: 9DATE:
10/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Nalin Tjitradjaja/Amanda GarciaTIME COMPLETED:
02:15 PM
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At approximately 1:00pm on 10/17/22, Licensing Program Analysts (LPAs) Amanda Blesi and Matthew Gallo arrived to the facility and checked in with the front office at the elementary school. LPAs met with staff Nalin Tjitradjaja to conduct a 1-year required annual inspection. Coordinator, Amanda Garcia, and Inelva Carvajal arrived shortly to assist with the inspection. The facility is located on Two Rivers Elementary School in room C-1. Facility hours of operation are Monday – Friday 8:00am to 11:00am and 12:00pm - 3:00pm. Upon arrival, LPA observed 9 children supervised three staff. All fingerprint clearances are monitored through the Natomas Unified School District.

LPA toured the classroom and observed food service. There is a restroom for the children located in the classroom. LPA reviewed care and supervision of children, staffing ratios, health related services, furniture, equipment, drinking water, and food service provisions. The facility has a waiver to share the outdoor space with the elementary school and is used at alternate times than the school.

LPA reviewed the children's Identification and Emergency Information. LPA reviewed personnel's education and immunization requirements. At least one staff member present today has current EMSA approved Pediatric/Child CPR and First Aid.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated

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
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022
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-TWO RIVERS
FACILITY NUMBER: 343622020
VISIT DATE: 10/17/2022
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LPA discussed Assembly Bill 2370, which will require licensed Child Care facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1st, 2020 to January 1st, 2023 and must be conducted every five years from initial testing.

LPA verified fees are current. LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations and access forms. LPA advised director of their responsibility to stay current in regards to new regulations. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

Exit interview conducted and report was reviewed with the facility representative Amanda Garcia. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC809 (FAS) - (06/04)
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