581374037-9-19-2019-13-CC-DWIN-BG6T4L-20190919142407

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 581374037
Report Date: 09/19/2019
Date Signed: 09/19/2019 02:24:19 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:	DOBBINS PRESCHOOL		FACILITY NUMBER:	581374037
ADMINISTRATOR:	LOCOCO, RHONDA		FACILITY TYPE:	850
ADDRESS:	INDIANA SCHOOL RD		TELEPHONE:	(530) 692-1665
CITY:	DOBBINS	STATE: CA	ZIP CODE:	95935
CAPACITY:	26	CENSUS: 0	DATE:	09/19/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Administrator Kathy Woods		TIME COMPLETED:	02:30 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 Analyst (LPA) David Wilson arrived to conduct an announced inspection at this facility since it has been on inactive licensed status since 2016 thru current. This facility is located in its own building and outdoor play area at the location of Dobbins Elementary School site. LPA met on this date at facility with Kathy Woods (Administrator). LPA toured the facility indoors and outdoors. LPA reviewed applicable required documents and was provided applicable documents for this Department's files. This facility plans to operate during the traditional school year normally from Mondays thru Fridays 7:30am thru 12:00pm. The classrooms were found clean and orderly. Toys, floors, desks and other equipment all appear clean and in good repair. There is drinking water available to children both indoors and outdoors via bottled water to be poured into disposable cups. Breakfast and snacks will be prepared and provided by the Marysville Joint Unified School District. The meal menu is to be posted and noted the time when breakfast/snacks will be served. The other required forms are to be posted always when operating this preschool. The items which could pose a danger to children such as sharp objects are inaccessible to children. Administrator stated there are no poisons at this pre-school site. Toys, floors, desks and other equipment all appear clean and in good repair. Children's sign-in/out document for parents is to be in a location ready for use by parents. There is a first aid kit located inaccessible to children in a classroom cabinet. There is an existing valid waiver where children from this facility use the elementary school site's bathrooms. When the children use this bathroom they must be in constant visual supervision, escorted and Title 5 ratios must be maintained. There is a cabinet with individual cubbies located in the classroom for storage of children's belongings. Isolation area's are identified by Administrator when a child is ill. Continued on next page...

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019

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

FACILITY NAME: DOBBINS PRESCHOOL	FACILITY NUMBER: 581374037
	VISIT DATE: 09/19/2019

NARRATIVE

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There is at least one carbon monoxide detector adequately located. There is at least one fire extinguishers rated at least 2A:10B:C located in the classroom. Emergency drills must be conducted at least once every six months and the date must be documented. The child roster is to remain current at all times. Administrator understands the Unusual Incident Report procedures, which entail notification of any applicable incidents before close of next business day and follow-up with written report within seven days.

For outdoor play activities children now use an exclusive outdoor play area. This play area is completely fenced with locked gates. The outdoor play area has adequate material to absorb falls from play structure activities. No bodies of water were observed on or around the facility. Children and staff records are to be in a locked cabinet. At least one staff member present at the facility must possess a current pediatric CPR and First Aid certification. Staff records must have proof of immunization's/vaccinations. The administrator stated this licensed facility does not transport client children. Smoking is prohibited in the licensed day care facility in all areas licensed to provide care. Facility must remain in applicable Title 5 child to staff ratio compliance and not operate beyond licensed capacity. The Administrator understands that for all staff, it must be maintained proof of completion of Mandated Reporter Child Care Provider's AB1207 training.

This facility provides Incidental Medical Services (IMS). 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. Children's medication for IMS or otherwise will be stored locked in an cabinet inaccessible to children in care.

Any proposed changes to the physical plant, telephone number, temporary closure, or change of address shall be immediately reported to the Department.

A final review will be conducted and licensee will be immediately notified.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019

LIC809 (FAS) - (06/04)

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