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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343604771
Report Date: 08/13/2024
Date Signed: 08/13/2024 12:02:13 PM

Document Has Been Signed on 08/13/2024 12:02 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:SETA - FREEDOM PARK EARLY LEARNING CENTERFACILITY NUMBER:
343604771
ADMINISTRATOR/
DIRECTOR:		BHAVNEET KAURFACILITY TYPE:
850
ADDRESS:6015 WATT AVENUE #5TELEPHONE:
(916) 563-5125
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 51DATE:
08/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Bhavneet KaurTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
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On Tuesday, August 13, 2024, Licensing Program Analysts (LPAs) Tanya Washington and Janie Davis met with Facility Representative, Bhavneet Kaur for an unannouced case management inspection regarding a self-reported incident that occurred on July 26, 2024. Upon arrival, LPAs toured the facility and observed care and supervision of 51 children supervised by 13 staff in five different classrooms.

Facility self reported that on July 26th, 2024 at 11:15 AM, Child #1 sustained a burn on their arm during a cooking activity in classroom #S.

During today's inspection, LPAs reviewed records and interviewed staff. Staff interviews revealed that children were being assisted in a guided activity of cooking quesadillas on an electric stove in the classroom. Child #1 sustained a burn on their arm during the activity.

LPAs advised staff to notify parents of unusual injuries as soon as they occur. LPAs also advised staff to adequately fill out (Ouch Report) being sent home to parents about injuries and be as descriptive as possible.

Title 22 deficiency is cited on the subsequent page of this report. Facility Representative acknowledges, that for TYPE A DEFICIENCIES ONLY upon receipt, Facility Representative shall post LIC809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Facility Representative. LIC9224 and Appeal Rights were provided. An exit interview was conducted and a Notice of Site Visit posted.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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Document Has Been Signed on 08/13/2024 12:02 PM - It Cannot Be Edited


Created By: Tanya Washington On 08/13/2024 at 11:15 AM
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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SETA - FREEDOM PARK EARLY LEARNING CENTER
FACILITY NUMBER: 343604771

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/14/2024
Section Cited
CCR
101223(a)2

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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced: Child #1 sustained a burn on their arm during a cooking activity. This is an immediate risk to the health and safety of children in care.
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Facility Representative will send a plan of correction to LPA Washington by POC date of 08/14/2024.

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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: 08/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/13/2024


LIC809 (FAS) - (06/04)
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