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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623108
Report Date: 01/21/2022
Date Signed: 01/21/2022 03:01:24 PM

Document Has Been Signed on 01/21/2022 03:01 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:YOUNG EXPLORERS (PS)FACILITY NUMBER:
343623108
ADMINISTRATOR:OCHOA, DEBORAHFACILITY TYPE:
850
ADDRESS:8065 ELK GROVE FLORIN RD, #150TELEPHONE:
(916) 585-5051
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 5DATE:
01/21/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Kiara PendarvisTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Christopher Bello and Mai Lor arrived at the facility at approximately 1:20pm for an unannounced inspection. Upon arrival LPAs observed one infant commingled with the preschool class. This is considered as an immediate risk to the children in care. At approximately 1:31pm LPAs observed the teacher leave the napping children alone in the room. This is considered as a immediate risk to the children in care.

Title 22 deficiencies are cited on the subsequent page of this report. Type Acknowledgement forms are to be signed by current parent of the facility and new parents for the next twelve months. LIC 9224 and Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Kiara.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2022
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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Document Has Been Signed on 01/21/2022 03:01 PM - It Cannot Be Edited


Created By: Christopher Bello On 01/21/2022 at 01:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: YOUNG EXPLORERS (PS)
FACILITY NUMBER: 343623108

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/24/2022
Section Cited
CCR
101161(a)

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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement is not met as evidenced by: LPAs Bello and Lor observed one infant commingled with the preschool
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Facility shall submit a plan to ensure that there is enough staff to provide care and supervision by POC date: 1/24/22

LPA will return to clear the deficiency.
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class. This is considered as an immediate risk to the children in care.
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Type A
01/24/2022
Section Cited
CCR101229(a)(1)

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement is not met as evidence by:
LPAs Bello and Lor observed the teacher
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Facility shall submit a plan to ensure that there is enough staff to provide care and supervision by POC date: 1/24/22

LPA will return to clear the deficiency.
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left the children alone without direct supervision at approximately 1:31pm. This is considered as a immediate risk to the children in care.
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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
LICENSING EVALUATOR NAME:Christopher Bello
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2022


LIC809 (FAS) - (06/04)
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