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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622220
Report Date: 06/23/2022
Date Signed: 06/23/2022 02:54:55 PM

Document Has Been Signed on 06/23/2022 02:54 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SUNSHINE ACADEMYFACILITY NUMBER:
343622220
ADMINISTRATOR:MCCRAY, JENNIFERFACILITY TYPE:
850
ADDRESS:2452 DEL PASO BLVDTELEPHONE:
(916) 564-5606
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 19DATE:
06/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer McCray TIME COMPLETED:
03:15 PM
NARRATIVE
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On June 23, 2022, at approximately 9:00 AM, Licensing Program Analysts (LPAs) Alize Tillery and Kelly Ferrera met with Director Jennifer McCray for the purpose of an unannounced required 1 year annual inspection. Upon arrival, LPA observed 12 preschool children supervised by 1 staff, and 7 school age children supervised by 1 staff. The facility hours of operation are Monday through Friday from 6:00 AM to 11:30 PM. The facility does not offer transportation services.

LPAs toured all activity and classroom spaces, restroom and outdoor play area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and daily schedule. LPAs observed cleaning disinfectants and pest solution (poison) to be accessible and in children’s reach. Director was reminded to keep cleaning supplies, poisons and other hazardous items inaccessible to children. Director placed the hazardous items in the storage area, inaccessible to children, while LPAs were present. Director stated there are no firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition. Floors appeared to be stained throughout the facility, LPAs observed lifting baseboards, and LPAs observed the wooden floors to be missing boards (near the school agers bathroom), which can pose as a potential tripping hazard for children. The program provides breakfast, lunch, dinner and 3 snacks. LPA discussed COVID19 guidelines with Director.



LPAs toured the facility’s kitchen and observed expired dry foods on the shelves and expired foods and milk in the refrigerator. Drinking water is readily available to children both indoors and outdoors. Director stated that staff provide waters bottles to the children and label their names on the bottles . LPAs observed the facility’s sign in and out sheet at the entrance. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 06/13/2022. Playground equipment and surfaces are free of loose or sharp parts. LPA observed the fence to have a gap that was being blocked by milk crates. LPAs suggested Director work on a more permanent solution to blocking the gate gap. There are sufficient equipment and toys, and there are shaded areas supplied by a hanging shade sail.

Report continues on 809-C.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2022
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 6
Document Has Been Signed on 06/23/2022 02:54 PM - It Cannot Be Edited


Created By: Alize Tillery On 06/23/2022 at 12:00 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: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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LPAs observed cleaning disinfectants and insect solution - poison, accessbile and in children's reach, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/24/2022
Plan of Correction
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Director placed all hazardous items in the storage area, inaccessible to children.
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:Seychelle De Luca
LICENSING EVALUATOR NAME:Alize Tillery
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2022


LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 06/23/2022 02:54 PM - It Cannot Be Edited


Created By: Alize Tillery On 06/23/2022 at 12:00 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: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.3(b)
Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.

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 that floors thoughout the facility are stained. LPAs observed the wooden floor to be missing boards which could be a tripping hazard, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2022
Plan of Correction
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LPA will return to ensure floors have been cleaned and that there is an attempt to fix the wooden floor.
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 observation, interview, record review, the licensee did not comply with the section cited above in that staff did not have mandated reporter certificates on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2022
Plan of Correction
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LPA will return to ensure current Mandated Reporter Certificates are in staff files.
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:Seychelle De Luca
LICENSING EVALUATOR NAME:Alize Tillery
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2022


LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 06/23/2022 02:54 PM - It Cannot Be Edited


Created By: Alize Tillery On 06/23/2022 at 12:00 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: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in that there was not a staff member present with a current CPR certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2022
Plan of Correction
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Director will submit proof to LPA Tillery, of either a staff member having a current CPR certificate, or staff member registered for a CPR course.
Type B
Section Cited
CCR
101227(8)
(8) ... All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Food in damaged containers shall not be accepted, used or retained.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in that LPAs observed expired dry food on the shelves and expired foods in the fridge, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2022
Plan of Correction
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LPA will return to ensure there are no expired foods on the premises.
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:Seychelle De Luca
LICENSING EVALUATOR NAME:Alize Tillery
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2022


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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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: SUNSHINE ACADEMY
FACILITY NUMBER: 343622220
VISIT DATE: 06/23/2022
NARRATIVE
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5 staff and 10 children's records were reviewed. Children’s files were observed to be complete. All staff files were observed to be missing mandated reporter training certificates. LPAs provided and reviewed the Child Care Center Entrance Checklist to the Director. Director understands what is to be maintained in personnel files at all times. There is not at least one staff member present today has a current Pediatric CPR and First Aid certificate. LPAs provided the children’s roster form to Director and reviewed how it is to be maintained. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reminded Licensees that 100% supervision is required at all times. LPAs 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. LPAs informed Director of the departments Technical Support Program (TSP) services. Director ...

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.


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 is 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



Director 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.

Deficiencies are cited on the following 809D page. A notice of site visit was given and must remain posted for 30 days.

report continues...
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: SUNSHINE ACADEMY
FACILITY NUMBER: 343622220
VISIT DATE: 06/23/2022
NARRATIVE
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Upon receipt, licensee 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 enroll at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.


An exit interview was conducted and the report was reviewed with the Director, Jennifer McCray.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC809 (FAS) - (06/04)
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