525403199-4-30-2019-13-CC-CKRD-BBQSQM-20190430140459

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 525403199
Report Date: 04/30/2019
Date Signed: 04/30/2019 02:05:05 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:	METTEER STATE PRESCHOOL		FACILITY NUMBER:	525403199
ADMINISTRATOR:	STEVENS, HEATHER		FACILITY TYPE:	850
ADDRESS:	695 KIMBALL ROAD		TELEPHONE:	(530) 529-5214
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	24	CENSUS: 21	DATE:	04/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jenny Leon		TIME COMPLETED:	02:10 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 inspection was made to the facility by LPA, Chris Krogstad. The facility file was reviewed prior to this inspection. This is a Title 5 program operated by Tehama County Department of Education and is housed on the Metteer Elementary School grounds. Operating hours are 8:15am - 11:15am and 11:30pm - 3:30pm, Mon-Fri. The facility is closed in the summer. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. There were no items which could pose a danger to children (such as detergents, cleaning compounds and medications) observed accessible to children. Poisons are locked in a cabinet in the storage closet. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. The children's bathrooms are in safe and sanitary condition. Food is prepared by the elementary school and brought over. Extra food was observed to be properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. The playground was toured at 1:18pm and was free of hazards. The playground equipment and surface areas were in safe condition. There are wood chips to provide cushioning underneath the climbing structure to absorb falls. Uncontaminated drinking water is provided via a drinking fountain. There were no bodies of water observed on the property. The site supervisor stated no weapons are stored on site and none were observed. During today's inspection, Title 5 staffing ratios were being met. 21 children were being supervised by two teachers and one aide. The facility was operating within the licensed capacity. The sign-in/sign-out procedure was reviewed at 1:31pm and was compliance. Ten children’s records were reviewed at 1:23pm, and contained Emergency Identification information. Staff records for the three staff present were reviewed at 1:40pm and contained documentation of education and training as required. At least one staff member present during the visit (S2) possessed current CPR and First Aid certifications. See LIC 809C for continuation report.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen Krogstad	TELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019

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: METTEER STATE PRESCHOOL	FACILITY NUMBER: 525403199
	VISIT DATE: 04/30/2019

NARRATIVE

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This facility is providing Incidental Medical Services (IMS) to one child (C1). LPA Krogstad reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. A plan for providing IMS is already on file with the Department for this facility. 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 was reviewed and discussed with the Site Supervisor. 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: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen Krogstad	TELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019

LIC809 (FAS) - (06/04)

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