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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393608939
Report Date: 10/07/2019
Date Signed: 10/07/2019 11:52:57 AM

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:LIONS N' LAMBS PRESCHOOLFACILITY NUMBER:
393608939
ADMINISTRATOR:GONCALVES, COLLEENFACILITY TYPE:
850
ADDRESS:815 W. LATHROP ROADTELEPHONE:
(209) 249-5839
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:110CENSUS: 104DATE:
10/07/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Colleen GoncalvesTIME COMPLETED:
12:00 PM
NARRATIVE
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During today's inspection Licensing Program Analysts (LPAs) Christopher Jackson and Charlotte Baney met with Director, Colleen Goncalves to follow up on an Unusual Incident Report (UIR) submitted to Community Care Licensing on 09/19/19. During today's inspection the facility was toured. Present were 104 children in care and 12 staff.

LPAs interviewed the Director, regarding the incident. LPAs reviewed and discussed this report with the Director. The facility reported the UIR to Community Care Licensing within 24 hours. A written UIR was submitted within 7 days, describing the specifics of the incident. On 09/19/19 one child was found in the enclosed hall area where parents wait for pick up. The director stated the child's is usually one of the first to be picked up. The child was trying to meet up with their parent in the hall area, where the child found their parent in the line. It was stated the child was able to walk out of the classroom and into the hallway without staff supervision. The following items were conducted to ensure the health and safety of children enrolled. The facility conducted a staff meeting on 09/19/19 which covered ratios. The facility will have two staff remain in the rooms during all dismissal times. Classroom dismissal: children shall remain on the carpet area, behind the half door till the parent enters the classroom and the child is called for, to be released to the parent. The director reiterated the staff will stand in front of the half door to ensure visual supervision of the children as they leave.

The following Title 22 Deficiency is being cited on the subsequent 809-D page. Upon receipt of Type A citations, licensee shall post and provide copies of the LIC 809-D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Licensee must also keep the signed LIC 9224, acknowledging receipt of LIC 809-D in each child's file. Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2019
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: LIONS N' LAMBS PRESCHOOL
FACILITY NUMBER: 393608939
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/08/2019
Section Cited

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requriement was not met as evidenced by, the unusual incident report submitted by the facility to the department. Informing of a child that had walked into
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the hallway, looking for paernt. This is an imediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2019
LIC809 (FAS) - (06/04)
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