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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293625136
Report Date: 03/28/2024
Date Signed: 04/05/2024 03:10:46 PM

Document Has Been Signed on 04/05/2024 03:10 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LITTLE ACORNS PRESCHOOLFACILITY NUMBER:
293625136
ADMINISTRATOR:MORGAN BESTFACILITY TYPE:
850
ADDRESS:18847 OAK TREE ROADTELEPHONE:
(530) 292-3140
CITY:NEVADA CITYSTATE: CAZIP CODE:
95959
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
03/28/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Sunshine BenderTIME COMPLETED:
12:00 PM
NARRATIVE
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat and LPA Matthew Gallo met with the Applicant Sunshine Bender for the purpose of an announced pre-licensing inspection. Applicant requests a preschool license to serve 24 preschool children from age two years to entry into kindergarten. The program will operate Monday through Friday from 8:30 a.m. to 1:30p.m. The facility will provide morning snack and lunch. LPAs reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

INDOOR ACTIVITY SPACE:
There is one preschool classroom. LPAs observed a sufficient amount of equipment, toys, tables, chairs, and cubbies There is a first aid kit the classroom located near the entry door. Medications will be stored in the office area/storage area in a lock box. LPAs observed cleaning disinfectants are appropriately stored and inaccessible to children, either below the sink or above the fridge. Applicant stated there are no poisons, bodies of water, or firearms on the premises. LPA Manabat discussed the importance of storing any poisons in a locked area with either a combination or a key lock. LPAs observed a functional carbon monoxide detector in the classroom. LPAs discussed the sign-in/sign-out sheet system that will be implemented near the front door.

LPA measured the classroom space during today's visit. The total classroom space contains a total of 1,210 square feet, which will accommodate Applicant's request for 24 preschool children. There are 2 toilets and 2 sinks located in the room. LPAs observed a separate private restroom for the staff located in the adjacent building. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

Report continues on LIC809-C
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE ACORNS PRESCHOOL
FACILITY NUMBER: 293625136
VISIT DATE: 03/28/2024
NARRATIVE
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OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. The outdoor play area is fenced with a iron-rod fence that is four feet tall. There is shade provided by trees and overhangs of sides of the building. During today's inspection, LPAs did not observe a play structure. Water is being provided by water bottles that can be refilled by the indoor filter that is connected to the sink. There are sufficient amount of equipment and toys. There are no bodies of water on the premises.

LPA measured the outdoor activity space. The outdoor play area contains a total of 6,193 square feet, which will accommodate 24 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) or (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

LPAs discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPAs discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Report continues on LIC809-C.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE ACORNS PRESCHOOL
FACILITY NUMBER: 293625136
VISIT DATE: 03/28/2024
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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Applicant, Sunshine Bender.

The following items are required before a license will be issued:
1. Mandated Reporter Training for Sunshine Bender.
2. Final file review from Licensing Program Manager (LPM) Mai Lor.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
LIC809 (FAS) - (06/04)
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