553616373-12-11-2019-53-CC-JLDN-BJRR6S-20191211114514

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 553616373
Report Date: 12/11/2019
Date Signed: 12/11/2019 11:45:20 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	COLUMBIA COLLEGE CHILD CARE CENTER		FACILITY NUMBER:	553616373
ADMINISTRATOR:	THOMAS,KELLY		FACILITY TYPE:	830
ADDRESS:	11600 COLUMBIA COLLEGE DRIVE		TELEPHONE:	(209) 588-5278
CITY:	SONORA	STATE: CA	ZIP CODE:	95370
CAPACITY:	24	CENSUS: 7	DATE:	12/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Kelly Thomas		TIME COMPLETED:	12:15 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	Licensing Program Analyst (LPA) Justin Denton met with Site Supervisor Kelly Thomas for the purpose of an unannounced annual random inspection. LPA toured the building including all activity and classroom spaces, restrooms, food service and outdoor play areas. LPA observed appropriate ratios, care and supervision, and capacity during the visit. One classroom is not currently in use. Facility hours of operation are Monday through Thursday from 7:40AM - 4:30PM and Friday from 7:30AM to 2:30PM. Facility is closed on Fridays from May through August. Medications, disinfectants, cleaning solutions, and hazardous items were appropriately stored and inaccessible to children. Furniture, equipment, and play materials were in good condition. Napping equipment was sufficient. Indoor and outdoor activity spaces are physically separate from preschool areas. Playground equipment was free of loose and sharp parts. Toileting facilities were in operating, safe, and sanitary condition. Changing tables were within arm's reach of the sinks. All food was protected against contamination. Trash cans containing solid wastes had lids. Uncontaminated drinking water was readily available to children both indoors and outdoors. Infant bottles and milk were labeled with names and dates. Menu was posted in a visible area. LPA observed Sign In/Out Sheet with signatures, times, and dates. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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: http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: COLUMBIA COLLEGE CHILD CARE CENTER	FACILITY NUMBER: 553616373
	VISIT DATE: 12/11/2019

NARRATIVE

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Children’s records were reviewed and included medical assessments, and infant feeding and needs and services plans. At least one staff member present today had current Pediatric CPR and First Aid certification (expires 5/13/2021). All staff currently employed with the facility have criminal record clearances and documentation of qualifications including education and experience. LPA discussed the Departmental inspection authority, and also informed the Licensee that any changes regarding the Center Director or their Designee must be reported to Department within 10 working days.

An Exit Interview was conducted. A Notice of Site Visit was provided. Licensee was encouraged to the visit the Departmental website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, provider information notices, regulations and legislation pertaining child care centers.

No Title 22 Deficiencies were cited during today's visit.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC809 (FAS) - (06/04)

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