343623835-2-11-2021-03-CC-SDLA-BY5S38-20210211123044

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623835
Report Date: 02/11/2021
Date Signed: 02/11/2021 12:30:50 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:	343623835
ADMINISTRATOR:	JEN, DEBBIE		FACILITY TYPE:	830
ADDRESS:	7248 MURIETA DRIVE STE C-102		TELEPHONE:	(619) 663-0574
CITY:	RANCHO MURIETA	STATE: CA	ZIP CODE:	95683
CAPACITY:	14	CENSUS: 0	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 Analyst (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 (#343610525). Applicant requests an infant license to serve 14 infant children from birth to age two years. The program will operate Monday through Friday from 7:30 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, 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. Parents will provide food and milk for younger infants. INDOOR ACTIVITY SPACE: There is one infant classroom. AS and LPA observed a sufficient amount of equipment, toys, tables, and cubbies. AS and LPA observed five cribs in the crib area of the infant room and 12 napping cots. The crib area is next to the activity area and is separated with a wall. There is a first aid kit in the classroom. AS and LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated medications will be stored in the bathroom area. Applicant stated there are no poisons or firearms on the premises. Applicant stated there will be labelled sippy cups available to all children. AS and LPA observed a functional carbon monoxide detector in the 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: 343623835
	VISIT DATE: 02/11/2021

NARRATIVE

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Applicant measured the classroom; and AS walked her through the measuring process. The total classroom space contains a total of 528.75 square feet, which accommodates the request for 14 infant children. AS and LPAs observed one changing table in the bathroom that is within arm's reach of a sink. The changing pad is at least one inch thick with raised sides that are at least three inches tall. There are one toilet, three potty chairs, and one sink for the children, and a separate private restroom for the staff. The staff restroom is located near the preschool classroom. Applicant and Director acknowledge staff may only use the staff restroom. 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 infant and preschool 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 stated the infants will not use the climbing structure.

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 accommodates Applicant's request for 14 infant 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.

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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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: 343623835
	VISIT DATE: 02/11/2021

NARRATIVE

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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.

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, Safe Sleep brochures, 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 updated documents for infant component with correct address.
3. Fire clearance.

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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