343622984-6-28-2022-03-CC-KGUA-CFTVN4-20220628163431

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343622984
Report Date: 06/28/2022
Date Signed: 06/28/2022 04:34:38 PM

Document Has Been Signed on 06/28/2022 04:34 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:	SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE		FACILITY NUMBER:	343622984
ADMINISTRATOR:	TAYLOR, TARA		FACILITY TYPE:	840
ADDRESS:	7525 AUBURN BLVD, SUITE 5		TELEPHONE:	(916) 735-5350
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY: 28	TOTAL ENROLLED CHILDREN: 28	CENSUS: 9	DATE:	06/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	LeTaunya Terrell		TIME COMPLETED:	04:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	At 1:00 p.m. on Tuesday, June 28th, 2022, Licensing Program Analyst (LPA) Karyn Guerra arrived at the facility for the purpose of an unannounced Required - 1 Year inspection. A risk assessment for COVID-19 was conducted. Hours of operation for the facility are 7:30 a.m. - 5:30 p.m., Monday thru Friday.Director, LeTaunya Terrell was away at lunch and arrived later during inspection. At time of arrival, LPA observed a census 9 children supervised by 1 staff (S1). Children were observed sitting at the carpet area with the lights dimmed. All individuals subject to criminal background review have obtained criminal record clearance. 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. LPA toured all activity and classroom spaces, restrooms, food service, and outdoor play areas. No children in care require medications. Director stated that there are no poisons at the facility. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition, free of hazards. LPA observed playground area of the facility. The outdoor space is enclosed with a ceiling providing adequate shade. There is foam board flooring to provide cushioning. There is a shared play space waiver on file. Toileting facilities are in safe, sanitary, and operating condition. Toilets have doors to provide privacy. Facility provides AM and PM snack for all children. A fixed menu was posted in 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 lids. Drinking water was readily available to Report continues on 809-C.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

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: SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE	FACILITY NUMBER: 343622984
	VISIT DATE: 06/28/2022

NARRATIVE

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children both indoors and outdoors via drinking fountains, pitcher/cups, and labeled bottles. LPA observed full legal signatures of authorized representatives on sign in and sign out logs. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector.

Staff files were reviewed. At least one staff member present today has current Pediatric CPR and First Aid certification.

Children's records were reviewed. Each child's file contained an emergency card, consent for emergency medical treatment and notifications of children’s and parent’s rights.

This facility does not provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

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 verified the annual fees are current. A staff interview was conducted with the Director, LeTaunya Terrell. 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.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days for parental review.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/28/2022 04:34 PM - It Cannot Be Edited

Created By: Karyn Guerra On 06/28/2022 at 03:59 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: SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE	FACILITY NUMBER: 343622984
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/28/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101216.2(e)(1)

(e) An aide shall work only under the direct supervision of a teacher. (1) An aide who is 18 years of age or older, and who meets the requirements of this section and Section 101216, may escort and/or assist children in going to the bathroom, and may supervise napping children as specified in Section 101230(c)(1), without being under the direct supervision of a teacher. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above, as Staff 1 (S1) was observed supervising children in care without the direct supervision of a Teacher. LPA came to learn that S1 will usually supervise napping preschool children in the classroom nextdoor for staff breaks, since the understanding was that Teacher Aides could supervise napping children. Record review revealed that S1 is a minor. This poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 06/29/2022
	Plan of Correction
1 2 3 4	Director will submit a staffing schedule to LPA by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Karyn Guerra

LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

LIC809 (FAS) - (06/04)

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