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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343605690
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:01:56 PM

Document Has Been Signed on 01/12/2023 12:01 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:ENCINA EARLY HEAD STARTFACILITY NUMBER:
343605690
ADMINISTRATOR:GRAY, CYNTHIAFACILITY TYPE:
830
ADDRESS:1400 BELL STREETTELEPHONE:
(916) 971-5840
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY: 37TOTAL ENROLLED CHILDREN: 37CENSUS: 11DATE:
01/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Angelica DennisTIME COMPLETED:
12:15 PM
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On January 12, 2023 at approximately 9:15 AM, Licensing Program Analyst (LPA) Josiah Gathing met with Facility Representative Angelica Dennis for the purpose of an unannounced annual random inspection. LPA observed care and supervision of five toddlers and six infants by four fully qualified teachers and two teacher aides. The facility has a maximum capacity of 37. The facility hours of operation are Monday through Friday from 8:00 AM to 3:00 PM.

LPA toured the classrooms, kitchen, children’s restroom, staff room, and outdoor play areas. Facility representative stated there are no firearms on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts and the ground below the play structures is sufficiently padded. Restrooms are in sanitary condition with functioning toilets. The floors were clean throughout the facility. Medications are stored in a pink backpack in the toddler room, out of children’s reach and labeled according to regulation.

LPA observed that solid waste containers were covered. Per facility representative, the facility provides snacks and meals are prepared in the school cafeteria. LPA observed a posted weekly snack menu. Infant’s food was labeled according to regulation. LPA observed an electronic sign in system near the front door.

All present staff files were reviewed and found to be complete. LPA observed staff had current Mandated Reporter certificates issued in 2022. At least one staff member had current CPR training which will expire February 10, 2024. Current facility roster and fire drill log last updated January 11, 2022 were on file.

Report continues on LIC809-C…

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE: DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2023
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: ENCINA EARLY HEAD START
FACILITY NUMBER: 343605690
VISIT DATE: 01/12/2023
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LPA observed the sample of children’s files contained the appropriate documents. Infant files contained 15 minute safe sleep logs. LPA observed first aid equipment, functioning smoke and carbon monoxide detectors, and a fully charged fire extinguisher meeting regulation. Required documents were posted.

Incidental Medical Services (IMS) policies were discussed. 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



Facility Representative was encouraged to the visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers.

No deficiencies were cited based on today’s inspection. Exit interview was conducted and report was reviewed with the Facility Representative, Angelica Dennis. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023
LIC809 (FAS) - (06/04)
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