343624197-4-14-2022-03-CC-MLOR-CDGQQE-20220414122212

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624197
Report Date: 04/14/2022
Date Signed: 04/14/2022 12:22:21 PM

Document Has Been Signed on 04/14/2022 12:22 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:	LAND PARK INFANT CENTER & PRE SCHOOL INC.		FACILITY NUMBER:	343624197
ADMINISTRATOR:	REGINA BINGHAM		FACILITY TYPE:	830
ADDRESS:	5250 RIVERSIDE BLVD		TELEPHONE:	(916) 446-4567
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95822
CAPACITY:	17	CENSUS: 0	DATE:	04/14/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Situ Millawabandara, Mary Beard and Regina Bingham		TIME COMPLETED:	12:30 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) Mai Lor, and Licensing Program Analyst (LPA) Christopher Bello met with Applicant Situ Millawabandara, current Licensee Mary Beard, and Director Regina Bingham for the purpose of an announced pre-licensing change of ownership inspection. This is a change of ownership from Land Park Infant Center and Preschool (#343604892). Applicant request an infant license to serve 17 infant children from birth to age two years. The program will operate Monday through Friday from 7:30 AM to 5:30 PM. The fire clearance was granted on 01/18/2022. AS reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. Applicant stated the facility will provide AM/PM snack, and a lunch for infants who are transitioning to solid food. Applicant stated parents will provide milk and formula for the younger infants. INDOOR ACTIVITY SPACE: There are two infant classrooms. The classrooms are equipped with sufficient infant size furnishing, cubbies and a variety of age-appropriate toys that appear to be in good repair. AS and LPA observed 4 cribs. Applicant acknowledges there will be a maximum of 4 infants under 12 months old, due to available cribs. There is a kitchen to support the food service equipped with a stove and refrigerator. The infant napping area is physically separated from the activity space. (Report continued on subsequent LIC 809)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

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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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: LAND PARK INFANT CENTER & PRE SCHOOL INC.	FACILITY NUMBER: 343624197
	VISIT DATE: 04/14/2022

NARRATIVE

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There is a first aid kit in the classroom. Medication will be stored in the office and inaccessible to children in care. AS and LPA observed cleaning disinfectants appropriately stored and inaccessible to children. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided via water pitchers with disposable cups. AS and LPA observed a carbon monoxide detector in the infant classroom. AS and LPA observed a paperwork sign-in/sign-out system.

AS and LPA measured the classroom. The total classroom space contains a total of 554.172 square feet, which will not accommodate Applicant's requested capacity for 17 infant children. There are five toilets and seven sinks available for children to use in the facility. AS and LPA observed a changing table with a changing pad that is at least one inch think with raised sides that are at least three inches tall and within arm’s reach of a sink. 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 is one outdoor area on the property designated for infants and is separate from the preschool outdoor activity space. The outdoor play area is surrounded by a fence that is at least four feet tall. AS and LPA observed a variety of age-appropriate outdoor toys and equipment. There is an infant play structure. The playground is shaded by electronic canopy and overhangs.

AS and LPA measured the outdoor activity space. The outdoor play area contains a total of 1021.764 square feet, which will not accommodate the applicant's requested capacity of 17 infants. Applicant is to submit a waiver request with a maximum of 13 infants and must include a rotating schedule.

AS discussed the following: 100% supervision is required at all times; 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 plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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 continued on subsequent LIC 809)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

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: LAND PARK INFANT CENTER & PRE SCHOOL INC.	FACILITY NUMBER: 343624197
	VISIT DATE: 04/14/2022

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items are required before a license will be issued:

1. Pending Licensing Program Manager’s final review

2. Revised fire clearance

3. Submit revised LIC 200A

4. Submit insufficient outdoor waiver request

Exit interview conducted and report was reviewed with Applicant, Situ Millawabandara, current Licensee Mary Beard.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

LIC809 (FAS) - (06/04)

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