<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009908
Report Date: 12/23/2021
Date Signed: 12/23/2021 02:47:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:L'ACADEMY PRESCHOOL FAIRFIELDFACILITY NUMBER:
483009908
ADMINISTRATOR:JANIE WELSHFACILITY TYPE:
830
ADDRESS:5150 WISEMAN WAYTELEPHONE:
(707) 639-3773
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:24CENSUS: 3DATE:
12/23/2021
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Rachel Hendrix, Acting Center DirectorTIME COMPLETED:
12:14 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 continuation inspection from 12/17/21 was made to the facility by Licensing Program Analyst (LPA), Y. Yang. The facility file was reviewed prior to this inspection. During today's inspection visit, the LPA met with the facility's acting center director, Rachel Hendrix. A review of the personnel report on 12/17/21 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 representative 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.
The facility’s operating hours are 08:30am-05:30pm, Monday – Friday. This is a combination center with a preschool license as well. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The infants are physically separated from the preschool age children in different classrooms. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The toys, floors and other equipment are clean, safe and age appropriate for infants. There were no infants enrolled at the facility that uses a crib. The vinyl padded changing table is within arm's reach of a sink. A current menu was posted. Food prep areas are clean. Food is properly stored and refrigerated and labeled as needed. There are no poisons or firearms and ammunition stored on the premises. The facility was free of flies, insects and rodents. There is drinking water available to children both indoors in the classrooms and outdoors on the playground. 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 rubber mat and synthetic turf cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed. During today's inspection, staffing ratios were being met and there were three infants being supervised by one teacher. The facility was operating within the licensed capacity. At least one staff member present during the visit possessed current CPR and First Aid certifications. Four children’s records were reviewed at 11:17am, and contained identification forms with authorized representative information, as well as medical assessments, infant needs and services plans, infant 15-minute sleep check logs, and infant safe sleep plans (LIC 9227) when applicable. Five staff records were reviewed at 10:57am and contained the required personnel documents as specified in the inspection checklist. Continued on LIC 809-C
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME: L'ACADEMY PRESCHOOL FAIRFIELD
FACILITY NUMBER: 483009908
VISIT DATE: 12/23/2021
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
26
27
28
29
30
31
32
LPA discussed the new Title 22 safe sleep regulations with the facility representative and discussed the Child Care Licensing Safe Sleep web page athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the facility representative 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Rachel Hendrix. There were no Title 22 deficiencies cited during today's inspection.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2