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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622378
Report Date: 08/10/2022
Date Signed: 08/10/2022 03:26:44 PM

Document Has Been Signed on 08/10/2022 03:26 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:KIDDY CLUBFACILITY NUMBER:
343622378
ADMINISTRATOR:REID, MARLETTFACILITY TYPE:
830
ADDRESS:7710 STOCKTON BLVDTELEPHONE:
(916) 617-7248
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:RachelTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Singh met with facility representative, Rachel De La Rosa, for an annual inspection. Purpose of the inspection was explained. Present, there are five infants in care with two teachers. Facility is operating with in the capacity and in compliance with staff child ratio on this day. Facility operate day care from Monday to Friday between 6:30 AM to 6 PM.

With facility representative, LPA inspected the day care classrooms and play yard. LPA observed the facility has license and all of the other required documents posted and are visible for public. There is smoke alarm, carbon monoxide detector and fire extinguisher available in the facility. All of the cleaning solutions and other chemicals that are dangerous to the children are stored inaccessible to the children. Cabinets in the classrooms have child protective locks installed. Facility has age appropriate furniture. Furniture is steady and in good repair. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste and in good repair and have proper tight-fitted lid on top. Changing table is close to the sink and is sanitized. All unused electrical outlets have child protective covers installed. There is first aid supplies box and working telephone in the classroom. The classroom has refrigerator with children’s food. LPA observed the children food is stored with each child’s name on it. All the food is stored in properly manner and has lid to avoid any contamination. There are sufficient amount of cribs in the napping area. LPA did not observe any items stored in the cribs other than the mattress. LPA observed the play yard is free of hazard. There is shaded area in the play yard for the children. There are age appropriate benches/tables in the play yard. Per facility representative, the staff bring the drinking water bottle with them while children using the play yard.

During inspection, LPA reviewed the facility records. LPA observed that facility has sign in / out record with full legal signatures. Facility has well maintained roster available on site. LPA reviewed random children's and all present staff's files.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KIDDY CLUB
FACILITY NUMBER: 343622378
VISIT DATE: 08/10/2022
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LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Multiple staff members have record of valid CPR card in file. LPA reviewed the educational qualification of all the teachers.

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

LPA reminded the facility representative that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate for each staff in the file.



LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC809 (FAS) - (06/04)
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