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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620543
Report Date: 08/31/2022
Date Signed: 08/31/2022 11:01:44 AM


Document Has Been Signed on 08/31/2022 11:01 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:ARLINGTON HEIGHTS PRESCHOOLFACILITY NUMBER:
343620543
ADMINISTRATOR:JULIA NEUHAUSERFACILITY TYPE:
850
ADDRESS:6401 TRENTON WAYTELEPHONE:
(916) 728-3175
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:24CENSUS: 16DATE:
08/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sara CoreyTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Lea Habtom met with acting site supervisor Sara Corey for the purpose of an unannounced annual random inspection. Sara was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included 16 preschool children supervised by 1 substitute teacher, acting director and instructional aide. Facility hours of operation are Monday through Friday from 8:00 AM to 2:30 PM.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are stored appropriately and are inaccessible to children. Acting director stated there are no poisons 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. The areas around or under climbing equipment are cushioned with bark to absorb the fall. Toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Program provides breakfast for the AM group and lunch for the PM group. Menus were posted and drinking water was readily available to children both indoors and outdoors. Children bring their personal water bottles and also have indoor and outdoor water fountains. LPA observed full legal signatures while reviewing the sign in and sign out sheet as required for preschool age component.

Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification 4/7/2024.


Report continued on 809-C (Page 1)
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2022
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 2


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: ARLINGTON HEIGHTS PRESCHOOL
FACILITY NUMBER: 343620543
VISIT DATE: 08/31/2022
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All staff currently employed with the facility have a criminal record clearance through the school district and documentation of the educational background, training, and/or experience. LPA reminded acting director that 100% supervision is required at all times, including in the bathroom. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector, which is wired into the fire alarm system. LPA reviewed the Department's inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/(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.

This facility evaluation report was reviewed and discussed with acting director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Site director was encouraged to the visit the departments website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
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