493007605-1-15-2020-01-CC-NCUM-BKUTGF-20200115134303

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493007605
Report Date: 01/15/2020
Date Signed: 01/15/2020 01:43:09 PM

COMPREHENSIVE INSPECTION

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:	LYTTON RANCHERIA EDUCATION CENTER		FACILITY NUMBER:	493007605
ADMINISTRATOR:	MARIA BANUELOS		FACILITY TYPE:	850
ADDRESS:	1592 FULTON ROAD		TELEPHONE:	(707) 576-9272
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	28	CENSUS: 17	DATE:	01/15/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Maria Banuelos, Site Supervisor		TIME COMPLETED:	02:00 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 unannounced inspection was made to the facility by Licensing Program Analyst (LPA) N. Cunningham. The facility file was reviewed prior to this inspection. This center operated by California Rural Indian Health Board and is Title 5 funded. The facility’s operating hours are 8:30 a.m. - 5:00 p.m., Monday - Friday, September - June. The facility was toured inside and outside, 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. Director stated there are no poisons in the facility, and none were observed during this inspection. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe, and in good condition. There is drinking water available to children both indoors and outdoors by use of water jugs and individual cups for children on the playground and in the classrooms. The children's bathrooms are in safe and sanitary condition. Food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. LPA observed a working carbon monoxide detector in the facility. The playground equipment and surface areas were in safe condition. There is wood chips underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed on the site. Director stated no weapons are stored on site, and none were observed. During today's inspection, staffing ratios were being met, and seventeen children were being supervised by four staff. The facility was operating within the licensed capacity and ratio requirements. At least one staff member present during the inspection possessed current CPR and First Aid certifications, which expire in 08/2021. Three children’s records were reviewed at 1:00 p.m. and contained signed admission agreements and immunization records or medical exemptions as required. Two staff records were reviewed at 1:22 p.m. and contained documentation of education and training as required. Continued on LIC 809-C.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: LYTTON RANCHERIA EDUCATION CENTER	FACILITY NUMBER: 493007605
	VISIT DATE: 01/15/2020

NARRATIVE

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Continued from LIC 809.

This facility is currently providing Incidental Medical Services (IMS). The Department’s IMS policy was discussed with the Director. The facility plans to have an IMS Plan of Operation on file with the Department. 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 and The Effects of Lead Exposure brochures, were reviewed and discussed with the director. 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: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

LIC809 (FAS) - (06/04)

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