570311412-1-31-2020-53-CC-ASIA-BLCNPS-20200131093850

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 570311412
Report Date: 01/30/2020
Date Signed: 01/31/2020 09:38:54 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:	CHILD AND FAMILY STUDY CENTER		FACILITY NUMBER:	570311412
ADMINISTRATOR:	THOMPSON, JANET		FACILITY TYPE:	830
ADDRESS:	244 FIRST STREET		TELEPHONE:	(530) 752-2888
CITY:	DAVIS	STATE: CA	ZIP CODE:	95616
CAPACITY:	10	CENSUS: 0	DATE:	01/30/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Director- Janet Thompson		TIME COMPLETED:	03:50 PM

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Licensing Program Analyst (LPA) Amy Silva met with the facility Director, Janet Thompson for the purpose of an unannounced random annual inspection. Upon arrival, there were no children present. Director stated that facility operates Monday thru Thursday, from 8:45AM to 11:45AM. Staff were present and sanitizing the classroom.

LPA toured the facility, including classroom TB118, all activity/classroom areas, isolation area, food service area, diaper changing table, and outdoor play areas. Toxic and hazardous items are inaccessible to children. Fire extinguisher, carbon monoxide detector and smoke detector meets regulations. Furniture and equipment are in good condition. Toileting facilities are in safe, sanitary, and operating condition. Infant changing tables are located near a sink, have a padded surface that is washable and at least one inch thick, and they have raised sides that are at least three inches high. The floors appeared clean throughout the facility. All food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Director stated that the center does not provide meals for the children. Director added that parents bring their own food for the infants. Drinking water was readily available to children both indoors and outdoors. LPA observed full legal signatures while reviewing the sign in and sign out sheets.

Four staff and four children's records were reviewed. Each child's file contained the required documentation. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 9/2021). Mandated reporter training is current for all staff.

All staff currently employed with the facility have a criminal record clearance and all required documentation on file. There are no firearms or bodies of water on the premises.

Report continues on 809-C.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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

FACILITY NAME: CHILD AND FAMILY STUDY CENTER	FACILITY NUMBER: 570311412
	VISIT DATE: 01/30/2020

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Incidental Medical Services was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.

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.

LPA provided and discussed Effects of Lead Exposure brochure and Safe Sleep Environment brochure.

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.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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