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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622984
Report Date: 06/09/2023
Date Signed: 06/09/2023 02:01:14 PM

Document Has Been Signed on 06/09/2023 02:01 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCAREFACILITY NUMBER:
343622984
ADMINISTRATOR:KINZ, KIMBERLYFACILITY TYPE:
840
ADDRESS:7525 AUBURN BLVD, SUITE 5TELEPHONE:
(916) 735-5350
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 10DATE:
06/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Tara TaylorTIME COMPLETED:
02:20 PM
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At 11:40 a.m., Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Tara Taylor, for the purpose of an unannounced, required - 1 year inspection. Upon arrival, LPA observed a census of 10 children supervised by 1 staff. Facility hours of operation are from 7:00 a.m. - 6:00 p.m., Monday thru Friday.

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. Licensee requests a room change for the preschool and school age classrooms. An application form was provided during inspection. Licensee 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. 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 for all three programs. Toileting facilities are in safe, sanitary, and operating condition. Toileting areas 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: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE
FACILITY NUMBER: 343622984
VISIT DATE: 06/09/2023
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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.

No children in care require medications. 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 informed Licensee of the recent relocation of the regional office and provided updated personal and parent's rights forms and posting.

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.

This report was reviewed with the Licensee, Tara Taylor. 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.

In the areas that were evaluated, no deficiencies were cited during today's inspection.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
LIC809 (FAS) - (06/04)
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