483009228-9-22-2021-13-CC-LCHZ-C74TX4-20210922150631

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 483009228
Report Date: 09/21/2021
Date Signed: 09/22/2021 03:06:40 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:	MILLENNIUM CHILD DEVELOPMENT CENTER - DIXON		FACILITY NUMBER:	483009228
ADMINISTRATOR:	TIMMS, VICKI		FACILITY TYPE:	840
ADDRESS:	1520 NORTH LINCOLN STREET		TELEPHONE:	(707) 693-6710
CITY:	DIXON	STATE: CA	ZIP CODE:	95620
CAPACITY:	30	CENSUS: 0	DATE:	09/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:01 PM
MET WITH:	Vicki Timms		TIME COMPLETED:	01:20 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	On 9/21/2021 at 12:01pm an Annual/Random inspection was made to the facility by Licensing Program Analyst (LPA), Laura Chavez and met with Center Director Vicki Timms. The facility file was reviewed prior to this inspection. A review of the Facility Personnel Report Summary on 9/20/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility’s operating hours are 7:30am - 5:30pm, Monday-Friday. The facility was toured at 12:10pm inside and outside and the floor and yard plan submitted by the licensee were verified. The Center Director stated no firearms or weapons are stored on site and none were observed. There are no pools or similar bodies of water. The items which could pose a danger to children (such as disinfectants, cleaning solutions and medications) are inaccessible to children. Poisons are locked in the janitorial closet. Furniture and equipment are in good condition and free of hazards. The outdoor activity space was cushioned with wood chips and free of hazards. Toilets and sinks are in sanitary condition and operating properly. The facility floors were clean and safe. The kitchen and food preparation area is clean, and free of litter. Food is properly stored and free of contamination. Trash cans have tight fitting lids. Children bring water bottles for indoors and drinking fountains are available outdoors. The facility was free of flies, insects and rodents. The facility has a working carbon monoxide detector. No school-age children were present during today's inspection. The Center Director is aware of children not being left without visual supervision at any time. The facility was operating within the licensed capacity. At least one staff member present during the visit (S#1) possessed current CPR and First Aid certifications. Report continued: See LIC 809-C

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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

FACILITY NAME: MILLENNIUM CHILD DEVELOPMENT CENTER - DIXON	FACILITY NUMBER: 483009228
	VISIT DATE: 09/21/2021

NARRATIVE

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The sign in/out sheet was reviewed, and representatives are using full signatures and recording the time. Staff are provided on-the-job training, including sanitation and universal precautions. Children with symptoms of illness are not accepted, and children who become ill during the day are isolated in a bathroom converted into an isolation room. A weekly menu was posted on a bulletin board immediately located outside of the classroom.

Ten children’s records were reviewed at 12:40pm, and contained emergency identification forms. One staff record was reviewed at 12:15pm, and contained health screening forms, proof of mandated reporter training, and proof of immunizations.

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: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

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