343623834-2-11-2021-03-CC-SDLA-BY5S2K-20210211122939

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623834
Report Date: 02/11/2021
Date Signed: 02/11/2021 12:29:46 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:	HODGE LEARNING CENTER		FACILITY NUMBER:	343623834
ADMINISTRATOR:	JEN, DEBBIE		FACILITY TYPE:	850
ADDRESS:	7248 MURIETA DRIVE SUITE B-8		TELEPHONE:	(618) 663-0574
CITY:	RANCHO MURIETA	STATE: CA	ZIP CODE:	95683
CAPACITY:	35	CENSUS: 12	DATE:	02/11/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Tiffany Hodge and Debbie Jen		TIME COMPLETED:	12:00 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	Application Specialist (AS) Seychelle De Luca and Licensing Program Analysts (LPA) Alize Tillery met with Applicant Tiffany Hodge and Director Debbie Jen for the purpose of an announced prelicensing change of ownership tele-inspection (due to COVID-19). This is a change of ownership from Rancho Murieta Learning Center (#343610526). Applicant requests a preschool license to serve 35 preschool children from age two to entry into first grade. The program will operate Monday through Friday from 7:30 AM to 6:00 PM. Applicant and Director acknowledge 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, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. The facility will provide morning snack, lunch, and afternoon snack. INDOOR ACTIVITY SPACE: There are two preschool classrooms: Toddler and Preschool. AS and LPA observed a sufficient amount of equipment, toys, tables, chairs, and cubbies. There is a first aid kit in each classroom and the office. AS and LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant and Director stated medications will be stored in a lock box in the preschool classroom. Applicant stated there are no poisons or firearms on the premises. Applicant stated there will be labelled water bottles available for each child in care. AS and LPA observed a functional carbon monoxide detector in the preschool classroom. Applicant stated the facility will use a paper sign-in/sign-out system. Report continues on 809-C.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

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: HODGE LEARNING CENTER	FACILITY NUMBER: 343623834
	VISIT DATE: 02/11/2021

NARRATIVE

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AS discussed the following: 100% supervision is required at all times, including in the bathroom; 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, Effects of Lead Exposure brochure, and immunization card.

CONDITIONS REQUIRING CORRECTION PRIOR TO ISSUING A LICENSE:
1. A final review of the file by Licensing Program Manager (LPM) Maria Mayorga.
2. Submit finances.
3. Submit renewed lease.
4. Fire clearance.
5. Submit waiver request for preschool and infant children to share the outdoor space. Include schedule of use by each group in the request.
6. Submit insufficient space waiver request with an acknowledgment that no more than 26 preschool children may go outside at one time and all children will have the opportunity to use the space with a rotating schedule.
7. Submit proof 35 napping cots were purchased.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

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: HODGE LEARNING CENTER	FACILITY NUMBER: 343623834
	VISIT DATE: 02/11/2021

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Applicant and Director measured the classrooms; and AS walked them through the measuring process. The total classroom space contains a total of 1248 square feet, which accommodates Applicant's request for 35 preschool children. There are two toilets, one potty chair, and three 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 and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor play area for preschool and infant children. Applicant will submit a waiver request to utilize a rotating schedule to ensure the groups do not go outside at the same time. The play space is surrounded by a chain link fence that is at least four feet tall. AS and LPA observed a sufficient amount of equipment and toys. There are shaded areas supplied by an overhang and trees. Applicant and Director acknowledge staff must ensure children use age-appropriate equipment at all times. Applicant and Director stated the climbing structure is anchored into the ground.

Applicant and Director measured the outdoor space; and AS walked them through the measuring process. The outdoor play area contains a total of 2024.75 square feet, which does not accommodate Applicant's request for 35 preschool children. The space allows for a maximum of 26 children. Applicant will submit an insufficient outdoor space waiver request to utilize a rotating schedule where no more than 26 children use the preschool yards at one time. 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 Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Seychelle De Luca	TELEPHONE: (916) 217-4316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

LIC809 (FAS) - (06/04)

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