570303946-3-22-2023-53-CC-SMAY-CQ6TJ6-20230322144548

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 570303946
Report Date: 03/22/2023
Date Signed: 03/22/2023 02:46:07 PM

Document Has Been Signed on 03/22/2023 02:46 PM - It Cannot Be Edited

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:	WINTERS PARENT NURSERY SCHOOL		FACILITY NUMBER:	570303946
ADMINISTRATOR:	GWENDOLYN ADAMS		FACILITY TYPE:	850
ADDRESS:	208 FOURTH STREET		TELEPHONE:	(530) 795-4659
CITY:	WINTERS	STATE: CA	ZIP CODE:	95694
CAPACITY:	24	CENSUS: 20	DATE:	03/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Gwen Adams		TIME COMPLETED:	02:50 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) Salene Mayberry met with Director, Gwen Adams for the purpose of an unannounced annual inspection. Upon arrival, there were three staff members, one parent volunteer and 20 children present. Director stated that the facility is a non-profit private parent co-op. Facility hours of operation are Monday through Friday from 7:00 am to 5:30 pm. LPA verified that all fees were current. All staff present during today's inspection have a fingerprint clearance. Director 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. LPA toured classrooms, restrooms, and outdoor play areas. Toileting facilities are in safe, sanitary, and operating condition. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. The floors appeared clean throughout the facility. LPA confirmed that all toxic and hazardous items are inaccessible to children. The facility maintains a working phone, 3A10BC fire extinguisher, and functioning smoke and carbon monoxide detectors. Furniture and equipment are in good condition and all toys are age appropriate. LPA observed regularly conducted fire drills and full legal signatures while reviewing the sign in and sign out sheets. LPA also observed all required postings and a complete First Aid kit. All meals and snacks are provided by the families. LPA verified that all food was protected against contamination and stored appropriately. LPA observed storage containers with solid waste have tight-fitting covers. Drinking water was readily available to children both indoors and outdoors. Report continued on LIC809-C.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene Mayberry	TELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

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 3

Document Has Been Signed on 03/22/2023 02:46 PM - It Cannot Be Edited

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: WINTERS PARENT NURSERY SCHOOL	FACILITY NUMBER: 570303946
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	LPA observed that two staff members were missing complete immunization records. One staff member was missing their MMR vaccination and the other staff member was missing their MMR and Tdap immunizations. This poses a potential risk to the health and safety of children in care.
	POC Due Date: 04/21/2023
	Plan of Correction
1 2 3 4

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene Mayberry	TELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: WINTERS PARENT NURSERY SCHOOL	FACILITY NUMBER: 570303946
	VISIT DATE: 03/22/2023

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 reviewed 10 children and 2 staff files. Children’s files were complete. LPA observed that one staff member was missing a current TB test and that two staff members were missing complete immunization records.

At least one staff member present today has current Pediatric CPR and First Aid (expiration 03/24). LPA observed current AB1207 mandated reporter training certificates for all staff. Director was reminded that staff must renew this certification every 2 years through the www.mandatedreporterca.com website.

LPA verified that the center conducted water testing for lead on March 4, 2023, and provided Licensing with documentation as required.

Incidental Medical Services (IMS) was discussed. There is currently one child enrolled that requires IMS. LPA observed a Plan of Operation and was provided with a copy.

LPA advised that information regarding ADA can be located by calling: US Department of Justice’s toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY). Commonly Asked Questions about Child Care Centers and the ADA, is available at: http://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will be sent to the email address on file. 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/inspection-process. Finally, Director was encouraged to the visit the Department's website at www.cdss.ca.gov for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

A Type B deficiency was cited on the subsequent page (LIC809-D) of this report.

An Exit interview conducted, and the report was reviewed and provided to Director. LPA posted the Notice of Site Visit and Director acknowledges it must remain posted for 30 days. A failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Salene Mayberry	TELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3