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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573615400
Report Date: 07/01/2022
Date Signed: 07/01/2022 01:55:52 PM


Document Has Been Signed on 07/01/2022 01:55 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:YCOE ALYCE NORMAN HSFACILITY NUMBER:
573615400
ADMINISTRATOR:JACQUELINE TAMFACILITY TYPE:
850
ADDRESS:1200 ANNA STREETTELEPHONE:
(916) 375-7650
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95605
CAPACITY:144CENSUS: DATE:
07/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Site Coordinator, Connie Luna GarciaTIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Chayntel Hunter and Mariya Melinchuk conducted a site inspection for the purpose of a Room Change inspection. LPAs met with Site Coordinator Connie Luna Garcia and Director of Early Childhood Education, Shannon McClarin. The program is moving from room 5 to Room 13.

All staff present during today's inspection have a fingerprint clearance. Facility Representative 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.

The facility is requesting the capacity of 16 children in classroom 13. LPAs observed that the facility has the following documents posted on the parent’s board: Parents Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, and Earthquake Checklist. LPAs observed smoke and Carbon monoxide detectors and a fire extinguisher that all meet title 22 regulations.

INDOOR ACTIVITY SPACE:
The indoor space is one classroom. LPAs observed the facility has a total of seven toilets and four sinks. This is sufficient to meet the needs of the requested 16 children. The classroom is equipped with child size furnishings. The classrooms contain a total measurement of 903.96 square feet which is enough to accommodate the licensed capacity request of 16 Preschool Age children.

Report Continues on 809-C.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2022
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: YCOE ALYCE NORMAN HS
FACILITY NUMBER: 573615400
VISIT DATE: 07/01/2022
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OUTDOOR ACTIVITY SPACE:
The outdoor play area is fenced and is equipped with children's outdoor play equipment. The outdoor activity space was measured. Measurements for outdoor area were 6818 square feet which will accommodate the licensed capacity request of 16 Preschool age children. Site Coordinator stated that water jugs will be utilized for children when outside. There is structure in the play yard to be utilized by the preschool children.

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

Effective today, 07/01/2022 LPAs are granting a room change from classroom 5 to classroom 13. Exit interview conducted and report was reviewed with the Facility Representative. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



In the areas that were evaluated, no deficiencies were cited during the inspection.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC809 (FAS) - (06/04)
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