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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623515
Report Date: 05/14/2020
Date Signed: 05/14/2020 03:07:33 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:LITTLE SUMMIT CENTERFACILITY NUMBER:
343623515
ADMINISTRATOR:CAMERINO, C/RAMIREZ, CFACILITY TYPE:
850
ADDRESS:2224 BEAUMONT STREETTELEPHONE:
(714) 757-3808
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:68CENSUS: 0DATE:
05/14/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Celaine CamerinoTIME COMPLETED:
03:00 PM
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Application Specialist (AS) Seychelle De Luca met with Applicant Celaine Camerino for the purpose of an announced prelicensing tele-inspection (due to COVID-19). Applicant requests a preschool license to serve 48 preschool children from age two to entry into kindergarten and 20 toddlers age 18-36 months under a Toddler Option Program. The program will operate Monday through Friday from 7:30 AM to 5:30 PM. The fire clearance was granted on 4/14/2020.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat law, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. The facility will be providing breakfast, lunch, and snacks.

INDOOR ACTIVITY SPACE:
There are two preschool classrooms and one toddler classroom. AS observed a sufficient amount of equipment and toys. Medications will be stored in the office. Applicant stated cleaning disinfectants will be appropriately stored and inaccessible to children up high or beneath the sink cabinets that will be latched. Applicant stated there are no poisons or firearms on the premises. AS observed a water fountain in the hallway and Applicant stated there will be water pitcher and cups in each of the classrooms. AS observed a functional carbon monoxide detector in the hallway. AS observed a paper sign-in/sign-out system.

Report continues on 809-C.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2020
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 3
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: LITTLE SUMMIT CENTER
FACILITY NUMBER: 343623515
VISIT DATE: 05/14/2020
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Applicant measured three classrooms; and AS walked her through the measuring process. The total classroom space contains a total of 2526.779 square feet, which will accommodate Applicant's request for 68 children. There are five toilets, one changing table, and seven sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There are four outdoor areas on the property: Back, Front, and two gardens. The outdoor play areas are fenced with a wrought iron fence that is at least four feet tall. AS observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs. Applicant stated they will use a water pitcher and cups outdoors.

Applicant measured the outdoor space; and AS walked her through the measuring process. The outdoor play area contains a total of 6046.442 square feet, which will accommodate Applicant's request for 68 children. Applicant would like preschool and toddler children to be able to use all spaces. Applicant will submit a waiver request for preschool and toddler children to share the outdoor spaces. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

The facility's Plan of Operation is located in the facility file. Incidental Medical Services and a Plan of Operation is located in the facility file. 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.

Report continues on 809-C.

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LITTLE SUMMIT CENTER
FACILITY NUMBER: 343623515
VISIT DATE: 05/14/2020
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AS discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant 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.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

This facility evaluation report was reviewed and discussed with Applicants. AS emailed a copy of the 809 to Applicants. Applicants understand they must read the reports and send back an acknowledgement that they read and received the report. AS also emailed LIC311A, Effects of Lead Exposure brochure, Healthy Schools Act survey, and immunization card.



CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:
1. A final review of the file by LPM Bettina Engelman.
2. Proof the remaining equipment has arrived.
3. Proof of first aid kit in each classroom.
4. Submit updated LIC 500 and LIC 610.
5. Submit a waiver request for preschool and toddler children to share the outdoor space with the acknowledgement that the two groups may not use the same spaces at the same time. Applicant will also include a schedule of when the two groups will use each of the spaces.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2020
LIC809 (FAS) - (06/04)
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