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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340308278
Report Date: 11/10/2021
Date Signed: 12/02/2021 03:41:14 PM

Document Has Been Signed on 12/02/2021 03:41 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:DEL PASO EARLY CHILDHOOD DEVELOPMENT CENTERFACILITY NUMBER:
340308278
ADMINISTRATOR:THOMPSON, TABITHAFACILITY TYPE:
850
ADDRESS:155 MOREY AVENUETELEPHONE:
(916) 566-3485
CITY:SACRAMENTOSTATE: CAZIP CODE:
95838
CAPACITY: 159TOTAL ENROLLED CHILDREN: 159CENSUS: DATE:
11/10/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Tabitha ThompsonTIME COMPLETED:
01:45 PM
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This is an amended report to correct the requested capacity.

Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Alize Tillery met with Licensee Tabitha Thompson for the purpose of an announced capacity change case management inspection. Licensee request to increase the preschool capacity from 159 to 216 preschool children ages three to entry into Kindergarten. The facility's hours of operation are Monday through Friday from 8:00 AM to 2:30 PM. AS Lor received the fire clearance on 9/15/21.

AS and LPA conducted a health and safety inspection in all areas accessible to preschool children. AS and LPA measured 10 classrooms #1A, #1B, #2A, #2B, #3A, #3B, #4, #7, #,8, #9. The total classroom space contains a total of 9913.625 square feet, which will accommodate the requested capacity of 216 preschool children. There are 20 toilets and 22 sinks available to children, and a separate staff restroom is available. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary.

AS and LPA observed sufficient number of furniture, toys, mats, cubbies, and play equipment in the classrooms. AS and LPA observed a functional carbon monoxide detector. AS and LPA observed disinfectants and medications are inaccessible and appropriately stored. AS and LPA observed an electronic sign-in/sign-out system. Licensee stated the facility will provide breakfast, lunch and PM snacks.

There are three outdoor area on the property designated for preschool. The outdoor play area is fenced with a chain link fence that is at least four feet tall. AS and LPA observed a variety of age-appropriate outdoor toys and equipment. There is a play structure on play yard #1 and #3 that is designated for children ages 2 to 5. Play yard #2 has a play structure designated for 2-12 years old. Applicant was reminded to follow the safety label and staff will provide supervision to ensure children under the age of 2 will not be at the play structure. AS and LPA observed wood chips used as cushioned. Each play yard is shaded with a shade structure.

(Report continues on subsequent LIC809)
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2021
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 2
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: DEL PASO EARLY CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 340308278
VISIT DATE: 11/10/2021
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AS and LPA measured the outdoor space. The outdoor preschool yard contains a total of 52286.53 square feet, which will accommodate Licensee's request for 216 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Prior to this inspection, AS emailed LIC311A, Effects of Lead Exposure brochure and Provider Notice Information (PIN) 21-21 (Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers per AB 2370), and immunization card. AS and LPA reviewed lead testing requirement and COVID-19 technical assistance with the Licensee

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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: http://www.ada.gov/childqanda.htm

Licensee 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.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Prior to licensure, the following items must be corrected:
1. Fix play yard #1's play structure
2. Licensing Program Manager's final review
3. Director Verification documents to include infant units, mandated reporter training, preventative health and safety training.
4. Updated list of furniture

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Tabitha Thompson.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC809 (FAS) - (06/04)
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