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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343605690
Report Date: 07/10/2024
Date Signed: 07/10/2024 11:56:30 AM

Document Has Been Signed on 07/10/2024 11:56 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ENCINA EARLY HEAD STARTFACILITY NUMBER:
343605690
ADMINISTRATOR/
DIRECTOR:
MILLER, GLENNISFACILITY TYPE:
830
ADDRESS:1400 BELL STREETTELEPHONE:
(916) 971-5840
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY: 37TOTAL ENROLLED CHILDREN: 37CENSUS: 7DATE:
07/10/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Lisa TealTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 7/10/2023 at approximately 9:00am, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat and LPA Stephanie Piring met with Licensee Representative Lisa Teal for the purpose of an unannounced change of capacity case management inspection. The Licensee requests a total of 8 infant children ages 0-24 months and 32 toddler children ages 18-36 months. The fire clearance was received and granted on 06/27/2024. The program operates Monday through Friday 8:00 AM to 3:00 PM.

INDOOR ACTIVITY SPACE:
There are two buildings on site that are used by the facility. The toddler classrooms are located in U-3 and the left side of U-2. The infant classroom is located in the U-2 room on the right side, closest to the parking lot. During today's visit, LPAs observed a sufficient amount of equipment, toys, tables, chairs, nap mats, and cubbies. CAB LPA measured the indoor space and found that the toddler rooms measured for a total of 2,024.78 square feet, which will accommodate Licensee’s request for 32 toddlers. Additionally, LPAs measured the infant indoor space for a total of 1459.06 square feet which will accommodate the facility's request for 8 infant children. There are a total of 6 sinks and one toilet, 4 cribs, and a private restroom for staff located inside of the U-2 room.

OUTDOOR ACTIVITY SPACE:
There are three outdoor areas on site. The yard attached to the U-3/U-4 portables is meant for the preschool. The larger outdoor play yard, adjacent to the U-2 room is the toddler yard. Finally, the smaller yard is the infant yard. The outdoor play area is fenced with a chain link fence that is at least four feet tall. LPAs observed a sufficient amount of equipment and toys available for use. There are two play structures in the toddler yard which are designated for ages 6 months - 23 months. The Facility Representative was reminded to follow the safety label and staff will provide supervision to ensure children under the age of 6 months and over the ages of 23 months will not be using the play structure.
Report continues on LIC809-C....
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
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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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: ENCINA EARLY HEAD START
FACILITY NUMBER: 343605690
VISIT DATE: 07/10/2024
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Facility Representative stated there are no firearms, weapons, or bodies of water on the facility premises. There are shaded areas supplied by trees and overhangs. During today's visit, LPAs measured a total of 6080.42 square feet for the toddler yard and 1459.06 square feet for the infant yard which will accommodate Licensee’s request for 32 toddlers and 8 infant children.

Licensee Representative 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Prior to issuing a license, the following conditions must be submitted:

1. Pending Licensing Program Manager's final review.

Exit interview conducted and report was reviewed with the Licensee Representative.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC809 (FAS) - (06/04)
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