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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340317930
Report Date: 05/09/2023
Date Signed: 05/10/2023 08:14:15 AM

Document Has Been Signed on 05/10/2023 08:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:OAK RIDGE PRESCHOOLFACILITY NUMBER:
340317930
ADMINISTRATOR:REBECCA DEHRFACILITY TYPE:
850
ADDRESS:4501 MARTIN LUTHER KING JR.TELEPHONE:
(916) 395-4667
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 16DATE:
05/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Chong VangTIME COMPLETED:
12:50 PM
NARRATIVE
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On May 9th, 2023, at 11:15 AM, Licensing Program Analyst (LPA) Tanya Washington, met with Facility Representative, Chong Vang, for an unannounced required annual inspection. LPA observed a census of sixteen preschool children supervised by three staff in room #1. All individuals subject to criminal record have obtained a fingerprint clearance through Sacramento City Unified School District. Facility hours of operation are Monday through Thursday from 8 AM to 2:30 PM and on Friday's from 8 AM to 11:45 AM.

LPA inspected all activity and classroom spaces, restrooms, and outdoor play areas. Hazardous items are inaccessible to children. The floors appeared clean throughout the facility. Furniture and equipment are in safe, operable condition. LPA observed a variety of age-appropriate toys available to children within the facility. The outdoor play area is shared with the elementary school kindergartners and a waiver of shared use is on file. Facility Representative stated that they do not use the play structure because there is a age restriction for ages 5-12. The children utilize bicycles and other toys staff bring out for children to play with. Staff ensure children stay off the play structure by redirecting them. Playground equipment is in good repair and free of loose or sharp parts. Toileting facilities are in safe, sanitary, and operating condition. Uncontaminated drinking water is readily available to children both indoors and outdoors. Storage containers with solid waste have tight-fitting covers in the classroom. Medications are stored in a central location, LPA checked the medication for expiration dates and proper storage. LPA observed a functional carbon monoxide detector within the facility. This facility uses electronic sign in and out system called Child Plus. LPA observed required postings, a children’s roster, and a fire/disaster drill log in which the last drill was conducted on 05/02/2023. Facility provides breakfast, snack and lunch which is prepared at the elementary school cafeteria and brought over to the classroom. Facility uses Fluff and Fold Laundry Services for sheet cleaning, the sheets are cleaned weekly.

LPA reviewed records for all present staff. At least one staff member present today has current Pediatric CPR and First Aid certification, expiring 09/2023. All staff currently employed with the facility have a health screening report, and documentation of their educational background, training, and/or experience. LPA did not observe current Mandated Reporter training or immunization record for staff present today. A sample of children records were reviewed, LPA observed that each child's file contained the required documents.

Continued on LIC809-C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: OAK RIDGE PRESCHOOL
FACILITY NUMBER: 340317930
VISIT DATE: 05/09/2023
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. 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.

LPA discussed with facility representative any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

LPA encouraged the Facility Representative to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding childcare updates, forms, regulations and legislation pertaining childcare centers. LPA also encouraged the Facility Representative to sign up for the Child Care Advocates quarterly newsletter.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Three Type B deficiencies are cited on the following LIC809D. Appeal Rights are provided.

This report was reviewed with Facility Representative and an exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 05/10/2023 08:14 AM - It Cannot Be Edited


Created By: Tanya Washington On 05/09/2023 at 12:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: OAK RIDGE PRESCHOOL
FACILITY NUMBER: 340317930

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Two out of three staff did not have proof of MMR/ TDAP vaccines. Proof of record can be sent to LPA via email.
POC Due Date: 06/09/2023
Plan of Correction
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Facility Representative will ensure that Staff #2 and Staff #3 obtain required proof of vaccines.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Three staff present today did not have proof of mandated reporter training.
POC Due Date: 06/09/2023
Plan of Correction
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Facility Representative stated she will ensure all staff take the required course. Proof of completion can be sent to LPA Washington by e-mail tanya.washington@dss.ca.gov
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/10/2023 08:14 AM - It Cannot Be Edited


Created By: Tanya Washington On 05/09/2023 at 12:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: OAK RIDGE PRESCHOOL
FACILITY NUMBER: 340317930

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Facility Representative Yang stated she has been a Site Supervisor at this location for the last two years.
POC Due Date: 06/09/2023
Plan of Correction
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LPA provided a list of required documents for Site Supervisor. She will ensure to get all documents to Sacramento North Regional Office by POC date of 06/09/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023


LIC809 (FAS) - (06/04)
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