581373338-1-24-2020-13-CC-EGRK-BL5T3P-20200124132241

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 581373338
Report Date: 01/24/2020
Date Signed: 01/24/2020 01:22:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	CEDAR LANE PRESCHOOL		FACILITY NUMBER:	581373338
ADMINISTRATOR:	WOODS, KATHY		FACILITY TYPE:	850
ADDRESS:	841 CEDAR LANE		TELEPHONE:	(530) 741-6111
CITY:	OLIVEHURST	STATE: CA	ZIP CODE:	95961
CAPACITY:	24	CENSUS: 18	DATE:	01/24/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:37 PM
MET WITH:	Dao Scott		TIME COMPLETED:	01:30 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	An inspection was made to the facility by Licensing Program Analyst, Emilia Grisak. The facility file was reviewed prior to this inspection. A review of the personnel report on 1/24/2020 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions through Marysville Joint Unified School District. Operating days and hours are Monday through Friday, 8:00am to 11:15am and 12:15pm to 3:30pm. The preschool is located on the grounds of Cedar Lane Elementary School. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces were clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children’s bathrooms were in safe and sanitary condition. A current menu was posted near front entryway. Food prep areas are clean. Food is properly stored and free of contamination. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There was wood chip cushioning underneath tall climbing structures sufficient to absorb falls. A sample of children (authorized representatives) and staff (evidence of immunity against measles and pertussis) records were reviewed and found to be in compliance. There were no bodies of water observed. The Site Supervisor stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and there were 18 children being supervised by 3 teachers/aides. The facility was operating within the licensed capacity. At least one staff member present during the visit possessed current CPR and First Aid certifications which expires on 3/5/21. The sign in/out procedure was reviewed and in compliance.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CEDAR LANE PRESCHOOL	FACILITY NUMBER: 581373338
	VISIT DATE: 01/24/2020

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This facility is providing Incidental Medical Services (IMS) to children and IMS plan is on file with the Department. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: www.ada.gov/childqanda.htm. This report was reviewed with Site Supervisor. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC809 (FAS) - (06/04)

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