<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 570311280
Report Date: 09/05/2019
Date Signed: 09/05/2019 04:18:53 PM

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:MERRYHILL SCHOOL-LA VIDAFACILITY NUMBER:
570311280
ADMINISTRATOR:MCSPADDEN, JILLFACILITY TYPE:
850
ADDRESS:222 LA VIDA WAYTELEPHONE:
(530) 753-9210
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:88CENSUS: 50DATE:
09/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Morgan CallawayTIME COMPLETED:
04:30 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 Analysts (LPAs) Charlotte Baney and Chayntel Hunter met with Office Administrator, Morgan Callaway for the purpose of an unannounced Annual/Random inspection. The facility is licensed to serve 76 preschoolers and 12 toddlers age 18-30mos (with parent permission) under a toddler option program. LPAs observed care and supervision of 50 preschoolers supervised by 10 staff. LPAs toured the facility inside and out. LPAs observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care. Facility days and hours of operation are Monday-Friday from 6:30 AM to 6:00 PM.

LPAs reviewed care and supervision of children, staffing ratios, medications and first aid supplies, furniture, equipment, fire drills and drinking water. LPAs observed all required forms to be posted. There are adequate toys and equipment available for children. Outdoor play area was toured, the play structure appeared to be in good repair, there is sufficient cushioning under the play structure.

LPAs reviewed the electronic sign in/out tablet and observed that the children are properly signed in/out. All staff present during today's inspection have a fingerprint clearance. LPAs observed health screening reports with TB test and required MMR and TDAP vaccines. All staff members present today has current Pediatric CPR and First Aid. LPAs observed AB1207 mandated reporter training certificates for all staff. The office administrator was reminded to renew the course every 2 years through www.mandatedreporterca.com website.

Incidental Medical Services (IMS) policy was discussed. Facility has a plan in place.

This facility evaluation report was reviewed and discussed with the Office Administrator. An exit interview was conducted. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. In the areas that were evaluated, no deficiencies were cited during the inspection.

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019
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 1