343605844-8-31-2023-03-CC-DVAG-CV8P35-20230831105659

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343605844
Report Date: 08/31/2023
Date Signed: 08/31/2023 10:57:09 AM

Document Has Been Signed on 08/31/2023 10:57 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:	NORTHWOOD CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	343605844
ADMINISTRATOR:	HEDGECOTH, JESSICA		FACILITY TYPE:	850
ADDRESS:	2630 TAFT STREET		TELEPHONE:	(916) 229-4530
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95815
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 72	CENSUS: 3	DATE:	08/31/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Mai Dao Lor		TIME COMPLETED:	11:15 AM

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On Thursday, August 31st, 2023, Licensing Program Analysts (LPAs) Pa Dao Vang and Gagandeep Singh met with Facility Representative Reem Zidan, for the purpose of an unannounced 1 year required inspection. LPA toured the facility, at which time a census of 3 preschool children supervised by 3 staff were observed. All individuals subject to criminal background review have obtained clearance.

A health and safety inspection was conducted in the classrooms, restrooms, food service areas, and outdoor play areas. LPAs observed the following documents are posted: License, Emergency Disaster Plan, Notification of Personal Rights, required publications, menus, daily schedules, and waiver for the shared play yards. Cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. There were no medications stored at facility at this time. Furniture and equipment are in good condition, and toileting facilities are in sanitary, and operating condition. Bins for solid waste have tight fitting lids. The floors appeared clean throughout the facility. LPAs observed smoke alarm. The carbon monoxide is fused with the thermostat in the classrooms. LPAs observed that children are signed in and out of the facility using a digital application called Learning Genie.

Children have access to water indoors and outdoors using a water canister and cups that are transported with children. Playground equipment and surfaces are free of loose or sharp parts. LPAs observed sufficient cushioning under the play structure. Outdoor shade is provided by canopies. There are no firearms or bodies of water on the premises. Facility representative stated there are no weapons and poisons on the premises.

LPA reviewed staff files. At least one staff member present today has current Pediatric CPR and First Aid certification. LPA observed immunization records and documentation of the educational background, training, and/or experience. Upon review, all staff members had current mandated reporter training. LPAs advised AB 1207 Mandated Reporter training must be renewed every two years and can be renewed at www.mandatedreporterca.com.

Continue on LIC809-C...

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: NORTHWOOD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 343605844
	VISIT DATE: 08/31/2023

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Facility had a current roster, and record of conducting fire drills at least every six months. Per record the last fire drill was conducted on August 29th, 2023. A sample of 3 children's records were reviewed and were observed to be complete.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for

drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Continue on LIC809-C...

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

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: NORTHWOOD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 343605844
	VISIT DATE: 08/31/2023

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LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with representative Reem Ziden.

No title 22 deficiencies cited today.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

LIC809 (FAS) - (06/04)

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