455406236-10-24-2019-13-CC-CWIT-BH9RCL-20191024125431

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 455406236
Report Date: 10/24/2019
Date Signed: 10/24/2019 12:54:41 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	SCOE - NORTH COTTONWOOD PRESCHOOL		FACILITY NUMBER:	455406236
ADMINISTRATOR:	BARRY, KATHY		FACILITY TYPE:	850
ADDRESS:	19920 GAS POINT ROAD		TELEPHONE:	(530) 347-1698
CITY:	COTTONWOOD	STATE: CA	ZIP CODE:	96022
CAPACITY:	22	CENSUS:	DATE:	10/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:09 PM
MET WITH:	Lauren Anderson, Teacher		TIME COMPLETED:	01:10 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	An annual inspection was made to the facility by Licensing Program Analyst, Wisehart. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record clearances through Shasta County Office of Education. Operating hours are 8:00am to 11:30am, Mon-Fri, in Room #207. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified and updated version will be sent to CCL. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. Poisons are locked in Janitorial closest near bathrooms. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces were clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors via a drink foundation and outdoors on corner of building near playground. The children’s bathrooms were in safe and sanitary condition. A current menu was posted front door. Food prep areas are clean. Food is properly stored and free of contamination. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There is wood chip cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed. The Teacher stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met. Today 19 children attended the program and they were being supervised by 3 teachers/aides.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: SCOE - NORTH COTTONWOOD PRESCHOOL	FACILITY NUMBER: 455406236
	VISIT DATE: 10/24/2019

NARRATIVE

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The facility was operating within the licensed capacity. At least one staff member present during the visit (S1) possessed current CPR and First Aid which expires on 10/11/20 . Ten children’s records were reviewed at 12:20 pm, and contained identification forms with authorized representative information, as well as medical assessments. Three staff records were reviewed at 12:30 pm, and contained health screening forms. The sign in/out procedure was reviewed and in compliance. This facility is providing Incidental Medical Services (IMS) to children. The Department’s IMS policy was discussed with the Lead Teacher. (LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.) For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Lead Teacher. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

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