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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623776
Report Date: 02/01/2021
Date Signed: 02/02/2021 01:05:14 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:ASSIST ACADEMYFACILITY NUMBER:
343623776
ADMINISTRATOR:MILLER, KEVINFACILITY TYPE:
840
ADDRESS:4049 MARCONI AVENUETELEPHONE:
(916) 629-5239
CITY:SACRAMENTSTATE: CAZIP CODE:
95821
CAPACITY:50CENSUS: 0DATE:
02/01/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jenny MejiaTIME COMPLETED:
11:30 AM
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Application Specialist (AS) Seychelle De Luca and Licensing Program Analysts (LPAs) Marea Behvand and Alize Tillery met with Applicant Jenny Mejia for the purpose of an announced prelicensing tele-inspection (due to COVID-19). Applicant requests a school-age license to serve 50 school-age children enrolled in first grade and above. The program will operate Monday through Friday from 3:00 AM to 6:00 PM.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat law, Effects of Lead Exposure brochure, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. The facility will provide afternoon snacks when school is in session. Parents will provide snacks. Applicant stated extra provisions will be available if a child does not have snack or lunch.

INDOOR ACTIVITY SPACE:
There are five school-age classrooms: Classrooms 4, 5, 6, 7, and 8. Applicant requests the preschool and school-age children share the library and gym. AS and LPAs inspected the classrooms, library, and gym. AS and LPAs observed a sufficient amount of tables and chairs. AS and LPAs did not observe a sufficient amount of hooks, equipment, and toys. AS and LPAs observed a fireplace in the library that needs to be screened. Applicant stated cleaning disinfectants will be stored in a cabinet with a safety latch. Applicant stated first aid kit will be stored in Classroom 9 and medications will be stored in the office. Applicant stated there are no poisons or firearms on the premises. Applicant stated there will be water bottles available in each classroom. Applicant stated the facility will use a paper and electronic 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: 02/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021
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: ASSIST ACADEMY
FACILITY NUMBER: 343623776
VISIT DATE: 02/01/2021
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Applicant measured the classroom; and AS walked her through the measuring process. The total classroom space contains a total of 4,374.815 square feet, which accommodates the request for 50 school-age children. There are 8 toilets, 3 urinals, and 12 sinks for the children, and a separate private restroom for the staff. The restrooms designated for school-age children affords privacy and gender separation. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor play area and Applicant stated the area will be shared by preschool and school-age children. The play space is surrounded by a chain link and wooden fence that is at least four feet tall. Applicant stated shade will be supplied by a tents. There is a climbing structure that has a safety label that reads it is intended for children ages 5 to 12 years old. Applicant stated the climbing structure is anchored into the ground. Applicant acknowledges staff must ensure children use age-appropriate equipment at all times. Applicant stated because the outdoor space is so large, staff will put up cones to designate areas of use by children.

Applicant measured the outdoor space; and AS walked her through the measuring process. The outdoor play area contains a total of 129,187.1 square feet, which accommodates the request for 50 children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

The facility's Plan of Operation is located in the preschool 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: 02/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021
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: ASSIST ACADEMY
FACILITY NUMBER: 343623776
VISIT DATE: 02/01/2021
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AS discussed the following: 100% supervision is required at all times; personal rights; criminal record clearances, 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 directors 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 Applicant. AS emailed a copy of the 809 to Applicant. Applicant understands she must reply that she received, read, and understands the report. AS provided LIC311A and Effects of Lead Exposure brochure.



CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:
1. Licensing Program Manager (LPM) Roxana Saravia's final approval.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De LucaTELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3