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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343610866
Report Date: 03/04/2025
Date Signed: 03/04/2025 01:40:06 PM

Document Has Been Signed on 03/04/2025 01:40 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:FAMILY MATTERS CHILD CARE CENTERFACILITY NUMBER:
343610866
ADMINISTRATOR/
DIRECTOR:		NELSON, GINAFACILITY TYPE:
830
ADDRESS:5452 14TH AVE.TELEPHONE:
(916) 457-4067
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 7DATE:
03/04/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Danielle RobertsTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On Tuesday, March 4, 2025, Licensing Program Analysts (LPAs) Julia Maryanova and LMP, Amanda Blesi, met with Facility Representative (FR) Danielle Roberts for the purpose of an unannounced required annual inspection. LPAs observed seven infants in care of 3 staff. All individuals subject to criminal background review have obtained a criminal record clearance. The facility hours of operation are Monday through Friday from 6 AM to 6 PM.

LPAs toured classroom space, restroom, and outdoor play area. LPAs observed the following documents are posted: License, Parents' Rights Poster, child personal rights, and seat belt law. LPAs discussed the requirement of posting, menu, schedule, lead testing brochure. FR stated that all information is accessible to parents through an app called Brightwheel. FR indicated that the facility has a functional carbon monoxide detector connected to the fire department system. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. FR stated that infant bedding is cleaned weekly or more often if needed. LPAs observed a changing table in arms reach of a sink. FR stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary, and operating condition. LPAs observed one crib have 3 soft pads instead of a firm mattress and a loose fitted sheet. Depending on children’s ages, children are provided food by either the parents or the center. LPAs observed 2 of out 6 infant bottles labeled with children’s names and dates in the refrigerator.

LPAs observed trash bins with tight fitted lids. Facility utilizes electronic sign in/out system called Brightwheel. In case of malfunction of the system there is a paper version of the sign in/ out log. Facility has record of conducting fire drills at least every six months; last fire drill was conducted in November, 2024. LPAs observed children’s roster. Playground equipment and surfaces are free of loose or sharp parts and mats are present under climbing equipment to provide sufficient cushioning. There are sufficient equipment and toys, and shaded areas are supplied by the buildings and overhangs. Drinking water is readily available to children both indoors and outdoors. Staff indicated that the facility provides water to children using a pitcher and that children use single use cups. Cups are brought outside in a tub when children are in the outdoor play area.

PAGE 1. REPORT CONTINUES ON LIC809-C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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 5
Document Has Been Signed on 03/04/2025 01:40 PM - It Cannot Be Edited


Created By: Julia Maryanova On 03/04/2025 at 12:20 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: FAMILY MATTERS CHILD CARE CENTER
FACILITY NUMBER: 343610866

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101439.1(b)(1)
Infant Care Center Sleeping Equipment
(b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed one crib sheet not to be the appropriate size and which did not tightly fit the mattress.
POC Due Date: 03/21/2025
Plan of Correction
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FR will replace the bedding sheet with a proper fitted sheet.
Type B
Section Cited
CCR
101439.1(b)(6)
Infant Care Center Sleeping Equipment
(b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. (6) Crib mattresses shall be:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed instead of a mattress one crib has 3 pads stocked together.
POC Due Date: 03/21/2025
Plan of Correction
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FR will replace the pads with a firm mattress of appropriate size.
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:Julia Maryanova
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 03/04/2025 01:40 PM - It Cannot Be Edited


Created By: Julia Maryanova On 03/04/2025 at 12:20 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: FAMILY MATTERS CHILD CARE CENTER
FACILITY NUMBER: 343610866

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. The staff mostly records the begining and end of nap time. The 15 minutes checks were rarely recorded. Some 15 minute checks were up to 2 hours apart.
POC Due Date: 03/21/2025
Plan of Correction
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FR will check daily to make sure 15 min checks are done and recorded. FR will speak with the staff to make sure staff records the 15 minu checks.
Type B
Section Cited
CCR
101427(j)
Infant Care Food Service
(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care. Four out of six bottles in infant refrigerator were not labled or dated.
POC Due Date: 03/21/2025
Plan of Correction
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FR will speak to staff and parents to make sure the bottle are dated and labled.
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:Julia Maryanova
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


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: FAMILY MATTERS CHILD CARE CENTER
FACILITY NUMBER: 343610866
VISIT DATE: 03/04/2025
NARRATIVE
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LPAs reviewed three staff present and three children's records were reviewed. Both children and staff files were observed to be complete. LPAs observed infant needs and services plans. LPAs reviewed Brightwheel recordings of nap time for the infants with 15 minute checks. The staff records the beginning and the end of a nap with 15 minute checks being apart up to 2 hours. LPAs advised on importance of physically checking on infants every 15 minutes.

There is at least one staff member present with a current CPR certificate.

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). The facility was last tested for lead in water on 08/25/23.

LPAs discussed the safe sleep regulations with FR and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPAs also informed FR of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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/.

PAGE 2. REPORT CONTINUES ON LIC809-C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: FAMILY MATTERS CHILD CARE CENTER
FACILITY NUMBER: 343610866
VISIT DATE: 03/04/2025
NARRATIVE
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FR 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.

FR was informed of the www.MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPAs confirmed that the annual fees are current. LPAs informed the FR of the recent regional office relocation and provided updated personal and parent's rights forms and postings.

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.

During today’s inspection, deficiencies were observed and noted on LIC809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative Danielle Roberts. Appeal rights were provided.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC809 (FAS) - (06/04)
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