573622670-11-22-2019-53-CC-ASIA-BJ6QFJ-20191122110801

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573622670
Report Date: 11/22/2019
Date Signed: 11/22/2019 11:08:13 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:	YCOE - WOLFSKILL PRESCHOOL		FACILITY NUMBER:	573622670
ADMINISTRATOR:	TELAHUN, GENET		FACILITY TYPE:	850
ADDRESS:	200 BAKER STREET		TELEPHONE:	(530) 795-6154
CITY:	WINTERS	STATE: CA	ZIP CODE:	95694
CAPACITY:	24	CENSUS: 11	DATE:	11/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director- Maria Ramirez		TIME COMPLETED:	11:10 AM

NARRATIVE

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Licensing Program Analyst (LPA) Amy Silva met with Director Maria Ramirez for the purpose of an unannounced random annual inspection. Upon arrival, there were two staff providing care and supervision to 11 children. Facility hours of operation are Monday through Friday from 7:30am to 4pm.

LPA toured the classroom, restrooms, and outdoor play areas. Director stated there are no poisons on the premises. Medications, toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Toileting facilities are in safe, sanitary, and operating condition. The floors appeared clean throughout the facility. All food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Program provides breakfast, lunch and afternoon snack. Menus were posted. 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.

Staff and three children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification. Mandated reporter training is current for all staff.

All staff currently employed with the facility have a criminal record clearance, health screening report, mandated reporter training certificates, immunization records, and documentation of the educational background, training, and/or experience. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector and fire extinguisher. Facility conducts monthly disaster drills and documents them.

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: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: YCOE - WOLFSKILL PRESCHOOL	FACILITY NUMBER: 573622670
	VISIT DATE: 11/22/2019

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Incidental Medical Services was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for 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 the lead brochure and the revised CDPH 286 form for the documentation of immunization's.

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

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

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