483007854-6-3-2019-01-CC-KOCL-BCSNUC-20190603104608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 483007854
Report Date: 06/03/2019
Date Signed: 06/03/2019 10:46:14 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME:	TATER TOTS CHRISTIAN PRESCHOOL		FACILITY NUMBER:	483007854
ADMINISTRATOR:	ALVAREZ, CHELSEA		FACILITY TYPE:	850
ADDRESS:	2605 CLAY BANK ROAD		TELEPHONE:	(707) 422-3414
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	104	CENSUS: 77	DATE:	06/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Chelsea Alvarez		TIME COMPLETED:	11:00 AM

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	A annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. The facility file was reviewed prior to this visit. A review of the personnel report on 6/03/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This facility operates from Monday-Friday 6:30am - 6:00pm. This Preschool is licensed for 104 children. During today's inspection there were nine staff supervising 77 children. Staffing ratios were being met and the facility was operating within the licensed capacity. The facility was toured inside and outside at 09:30 am with the Director and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The Director states that there are no poisons on the premises but understands that they are to be locked. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children's bathrooms are in safe and sanitary condition. Children bring their own lunches, am & pm snacks are provided and menus were posted. Garbage containers containing solid waste have tight fitting lids. The LPA observed a working carbon monoxide detector and a charged fire extinguisher of at least 2A 10: BC or larger. The playground was completely fenced and the equipment and surface areas appeared in safe condition. The playground was free of hazards. There are wood chips and pour and play for cushioning underneath climbing structures and/or play equipment to absorb falls. The Director stated that no weapons are stored on site and that there are no bodies of water and none were observed. At least one staff who opens and closes had current Pediatric First Aid and CPR certifications. Nine staff records were reviewed at 10:00am and contained documentation of education and training and Immunizations.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019

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,
, CA

FACILITY NAME: TATER TOTS CHRISTIAN PRESCHOOL	FACILITY NUMBER: 483007854
	VISIT DATE: 06/03/2019

NARRATIVE

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The sign-in/sign-out procedure was reviewed and was in compliance. Ten children’s records were reviewed at 09:15am and contained signed admission agreements.
This facility provides Incidental Medical Services – IMS (inhalers & Epi-pens). 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: http://www.ada.gov/childqanda.htm

This report, as well as the AAP Guide to Safe Sleep, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the Director. The Effects of Lead Exposure brochure has been reviewed with and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years. There were no deficiencies cited today.

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

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019

LIC809 (FAS) - (06/04)

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