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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621225
Report Date: 04/03/2024
Date Signed: 04/03/2024 04:00:04 PM

Document Has Been Signed on 04/03/2024 04:00 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:OAK PARK PRESCHOOL INC. IIFACILITY NUMBER:
343621225
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:
CURRIE, ARCYFACILITY TYPE:
850
ADDRESS:4036 14TH AVENUETELEPHONE:
(916) 573-3553
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 30TOTAL ENROLLED CHILDREN: 9CENSUS: 9DATE:
04/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Marla Horne/ Arcy CurrieTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On Wednesday, April 3, 2024, Licensing Program Analysts (LPAs) Tanya Washington and Janie Davis met with Facility Representative (FR) Marla Horne for the purpose of an unannounced required annual/ random inspection. LPAs observed nine children supervised by two staff outdoors, also present is an observer/ consultant. Staff #3 was observed inside working on paperwork. The facility hours of operation are Monday through Friday from 6:30 AM to 6 PM. LPAs learned that Maria Guadalupe Castillo is fingerprint cleared, however not associated to this facility.

LPAs toured all classrooms spaces, restrooms, and outdoor play area. LPAs observed the following documents are posted: License, Emergency Disaster Plan, Earthquake Preparedness, Personal Rights, Parents' Rights Poster, menu, and seat belt law. Cleaning disinfectants, hazardous items are appropriately stored and inaccessible to children. Per FR there are no medications at the facility. 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. All food is protected from contamination, all meals are prepared off site and delivered to the facility daily by Sacramento City Unified School District.

LPAs observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Facility Representative stated that they use reusable water bottles for children that are labeled and color coded. Staff stated that they bring out the same bottles outdoors. LPAs observed paper sign in out log, which is properly maintained. FR stated that a fire drill has not been conducted since she got hired on and did not show evidence of a previous log. Outdoor equipment and surfaces are free of loose or sharp parts. There is sufficient equipment and toys, and there are shaded areas supplied by trees and building awning.

LPAs observed proper storage of bedding and napping equipment. Facility Representative stated that the bedding gets cleaned weekly.

Report continues on the following page- LIC809C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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: OAK PARK PRESCHOOL INC. II
FACILITY NUMBER: 343621225
VISIT DATE: 04/03/2024
NARRATIVE
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Two staff and five children's records were reviewed. All five children files reviewed were incomplete and/or missing required forms. LPAs did not observe a Mandated Reporter Training Certificate for Staff #1 and #3. CCL was not notified of Director change which is required to be reported within 10 days after the change took place. LPAs observed a functional carbon monoxide detector.
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).

This facility provides Incidental Medical Services – IMS. FR stated that currently there are no children requiring medication. For IMS information see PIN 22-02-CCP. 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-carecenters/.

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.

LPAs informed the Facility Representative of the recent regional office relocation and provided updated personal and parent's rights forms and postings.
Facility Representative was informed of the www.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.

Report continued on LIC809C
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
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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: OAK PARK PRESCHOOL INC. II
FACILITY NUMBER: 343621225
VISIT DATE: 04/03/2024
NARRATIVE
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Upon receipt, facility representative shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

Refer to LIC809D for citation information.

LPAs discussed this report with facility representative and conducted an exit interview. LPA also provided appeal rights. Notice of site visit posted.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 04/03/2024 04:00 PM - It Cannot Be Edited


Created By: Tanya Washington On 04/03/2024 at 01:19 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: OAK PARK PRESCHOOL INC. II

FACILITY NUMBER: 343621225

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs learned that CCC substitute Maria Guadalupe Castillo is fingerprint cleared, however not associated to this facility. A civil penalty in the amount of $100.00 is assessed.
POC Due Date: 04/04/2024
Plan of Correction
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Facility Representative will ensure to associate Maria using form LIC9182 and submitting a copy of her identification card or driver's license to CCL by POC date of 04/04/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 04/03/2024 04:00 PM - It Cannot Be Edited


Created By: Tanya Washington On 04/03/2024 at 01:19 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: OAK PARK PRESCHOOL INC. II

FACILITY NUMBER: 343621225

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPAs learned that the facility did not have a fire drill log. FR stated that a drill has not been conducted since she was hired.
POC Due Date: 05/03/2024
Plan of Correction
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Facility will conduct, document and provide proof to LPA by POC date of 05/03/2024.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Two out of three staff did not have proof of completed course in their files.
POC Due Date: 05/03/2024
Plan of Correction
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FR will ensure that all staff have current Mandated Reporter training which is available online at www.mandatedreporterca.com. Proof of completion can be submitted to LPA by POC date of 05/03/2024.
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:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 04/03/2024 04:00 PM - It Cannot Be Edited


Created By: Tanya Washington On 04/03/2024 at 01:19 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: OAK PARK PRESCHOOL INC. II

FACILITY NUMBER: 343621225

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101221(a)
Child's Records
(a) The licensee shall ensure that a separate, complete and current record for each child is maintained in the child care center.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. During the file reviews LPAs observed some missing or incomplete forms. LPAs provided LIC311A to FR and asked that all children's files are reviewed and complete by POC date of 05/03/2024.
POC Due Date: 05/03/2024
Plan of Correction
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LPA will return to correct children's files.
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPAs learned that FR has been employed since January, 2024.
POC Due Date: 05/03/2024
Plan of Correction
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FR was provided a list of required documents to be submitted to CCL in order for the information to be updated.
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:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


LIC809 (FAS) - (06/04)
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