485407417-10-31-2019-13-CC-LCHZ-BHGTR2-20191031145648

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407417
Report Date: 10/29/2019
Date Signed: 10/31/2019 02:57:32 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:	BERT & ERNIE'S PRESCHOOL (SA)		FACILITY NUMBER:	485407417
ADMINISTRATOR:	BAILEY, TERRI		FACILITY TYPE:	840
ADDRESS:	255 NORTH LINCOLN STREET		TELEPHONE:	(707) 678-4440
CITY:	DIXON	STATE: CA	ZIP CODE:	95620
CAPACITY:	28	CENSUS: 0	DATE:	10/29/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Terri Bailey		TIME COMPLETED:	12:40 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 random inspection was made to the facility by LPA, Laura Chavez. The facility file was reviewed prior to this visit. 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 and child abuse index clearances or exemptions. This is a combination center. The inspection was made in conjunction with infant program. Days and hours of operation are as needed to accommodate school-age children. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (detergents, cleaning compounds and medications) were inaccessible to children. Poisons are locked in the janitorial closet. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces appeared clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. A current menu is posted on the bulletin board. Food prep areas are clean. Food is properly stored and refrigerated as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There are no climbing structures in the outdoor play area. There were no bodies of water observed. Owner/Director Terri Bailey stated no weapons are stored on site and none were observed. There were no school-age children present during today's inspection. At least one staff member present possessed current CPR and First Aid certifications. Children’s records were reviewed and contained identification forms with authorized representative information. Staff records were 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: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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: BERT & ERNIE'S PRESCHOOL (SA)	FACILITY NUMBER: 485407417
	VISIT DATE: 10/29/2019

NARRATIVE

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reviewed and contained documentation of education and training, as required. Sign in/out procedures are in compliance. This facility is not providing Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers, Sections 101173 and 101226. The following information regarding the American Disabilities Act (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 was reviewed and discussed with Owner/Director Terri Bailey. 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: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

LIC809 (FAS) - (06/04)

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