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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614412
Report Date: 01/28/2025
Date Signed: 01/28/2025 02:42:01 PM

Document Has Been Signed on 01/28/2025 02:42 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:DEL PASO ELEMENTARY SCHOOLFACILITY NUMBER:
343614412
ADMINISTRATOR/
DIRECTOR:		SCHLIE, NICOLEFACILITY TYPE:
850
ADDRESS:590 MOREY AVENUETELEPHONE:
(916) 566-3425
CITY:SACRAMENTOSTATE: CAZIP CODE:
95838
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
01/28/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Jeanne GardnerTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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At 1:15 p.m. on Tuesday, January 28, 2025, Licensing Program Analysts (LPAs) Pa Dao Vang and met with Facility Representative Jeanne Gardner for the purpose of an unannounced, annual required inspection. Upon arrival, LPAs observed a census of 12 children supervised by 2 staff. Facility hours of operation are from 7:00 a.m. - 3:00 p.m., Mondays thru Fridays. Center provides breakfast, lunch, and p.m. snack for the children. The facility operates with two separate classes. The facility does not offer transportation services.

Facility 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.

LPAs conducted a health and safety inspection of the classroom and restroom. LPAs observed the following documents are posted: License, Emergency Disaster Plan, Parents' Rights Poster, Earthquake Preparedness, Child Passenger Restraint Poster, Parent’s Notification, LIC613A Personal Rights, Daily Activity Schedule, and menus. The cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. Facility currently does not have any children with medications. Furniture and equipment are in good condition. Drinking water is accessible via water filter container and cups.

LPAs observed trash bins with tight fitted lids. Toileting facilities are in safe, sanitary condition. The floors appeared to be clean throughout the facility. Facility Represent stated that there is no smoking, no firearms nor poisons on the premises. LPAs observed the facility’s sign in and out system with blinders located in the front office. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 11/20/2024.

Continue report on LIC809-C...

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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: DEL PASO ELEMENTARY SCHOOL
FACILITY NUMBER: 343614412
VISIT DATE: 01/28/2025
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Facility provides Incidental Medical Services. 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.

LPAs conducted a health and safety inspection of the outdoor space. The play structure is free of loose or sharp parts with proper cushioning under it. Outdoor shade was provided by a canopy, trees, and the building.



LPAs reviewed staff and children's records. LPAs observed current employee rights, and documentation of the educational background, training, immunization, and/or experience. There is at least 1 staff with current CRP/First Aid certification in the facility.

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.

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 childcare 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). Licensee Representative stated the children only drink water from the water filter and not from the sinks. The sinks are used for handwashing only and not food preparation.



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

Continue report on LIC809-C...
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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: DEL PASO ELEMENTARY SCHOOL
FACILITY NUMBER: 343614412
VISIT DATE: 01/28/2025
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No deficiency is being cited today based on LPA’s observation, interviews conducted, and record reviews in accordance with the California Code of Regulations, Title 22. An exit interview was conducted with Facility Representative Jeanne Gardner. An exit interview was conducted, a copy of this report, appeal rights, and a notice of site visit were also provided to Director. Notice of site visit shall remain posted for a period of 30 consecutive days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC809 (FAS) - (06/04)
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