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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623180
Report Date: 08/26/2021
Date Signed: 08/26/2021 12:49:25 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/26/2021 12:49 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:SETA FREEPORT HEAD STARTFACILITY NUMBER:
343623180
ADMINISTRATOR:MATLOCK, SHANNONFACILITY TYPE:
850
ADDRESS:2118 MEADOWVIEW ROADTELEPHONE:
(916) 263-3800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95832
CAPACITY: 20TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
08/26/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Cheryl DawsonTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with Site supervisor, Cheryl Dawson, for an annual inspection. Purpose of the inspection was explained. Present, there are nine children with three staff and the director. 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 8 AM to 4 PM.

With Site Supervisor, LPA inspected the day care areas. This facility operates from the portable classroom. Facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher, first aid supplies and working telephone at the site. All of the cleaning solutions and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility has sufficient amount of sleeping matts. Facility floor is in good repair and free of any hazards. All toilets, hand washing facilities are in working condition with proper sanitation in place. Storage containers for solid waste are in good repair and have proper lid on top. Facility has drinking water available for children. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of wood chips under the play structures to prevent any fall injuries. There is shaded area in the play yard for the children. LPA observed facility is using water cooler to bring drinking water for the children in 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 license and other required documents posted at the main entrance and are visible for the public. LPA reviewed seven random children's and all present staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Facility has multiple staff members with valid CPR card in file.
See next page for continuation .................
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2021
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: SETA FREEPORT HEAD START
FACILITY NUMBER: 343623180
VISIT DATE: 08/26/2021
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Site supervisor is aware that a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles. LPA observed facility has record of immunization all staff in file.

Site supervisor is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. The facility is using the Department approved vendor for the training and certificates are on 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: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC809 (FAS) - (06/04)
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