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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622220
Report Date: 05/03/2023
Date Signed: 05/03/2023 02:59:56 PM

Document Has Been Signed on 05/03/2023 02:59 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SUNSHINE ACADEMYFACILITY NUMBER:
343622220
ADMINISTRATOR:JENNIFER MCCRAYFACILITY TYPE:
850
ADDRESS:2452 DEL PASO BOULEVARDTELEPHONE:
(916) 564-5606
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 5DATE:
05/03/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Jennifer McCrayTIME COMPLETED:
03:20 PM
NARRATIVE
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On May 3rd, 2023 Licensing Program Analyst (LPA) Soleil Marx, met with Director, Jennifer McCray, for the purpose of conducting a plan of correction visit. LPA observed a census of five preschool children being supervised by two staff.

The facility was previously cited a Type B deficiency on 4/17/2023 for not being in compliance with CCR 101239.1(c) Napping Equiptment (c) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child, as evidenced by LPAs observation of preschool children in care not having sheets on their cots.

On May 3rd, 2023 at the time of LPA arrival, LPA observed preschool children still napping on cots that did not have sheets on them. Staff and Director stated that the wrong sheets were ordered, that they ordered crib sheets instead of cot sheets. The facility failed to correct the deficiency which was due 04/24/2023.

LPA communicated to Director the seriousness of failing to correct this deficiency and informed Director that civil penalties will accrue of $100 a day if the deficiency is not corrected by 05/10/23.

One Title 22 deficiency is being re-cited on 809-D

Report reviewed with Director, exit interview conducted, appeal rights provided. A Notice of site visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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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Document Has Been Signed on 05/03/2023 02:59 PM - It Cannot Be Edited


Created By: Soleil Marx On 05/03/2023 at 02:47 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: SUNSHINE ACADEMY
FACILITY NUMBER: 343622220

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2023
Section Cited
CCR
101239.1(c)

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Napping Equiptment (c) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child.

This requirement is not met as evidenced by:
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Director stated they have ordered cot sheets from amazon, that the order was placed during today's poc visit, and Director will send LPA proof/pictures when the cot sheets arrive
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Based on observation, the facility did not comply with the section cited above by not using sheets on the nap cots, which poses/posed a potential health, safety or personal rights risk to persons in care.
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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:Natalie Dunaway
LICENSING EVALUATOR NAME:Soleil Marx
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023


LIC809 (FAS) - (06/04)
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