343623183-9-27-2023-03-CC-TWAN-CW3T3V-20230927142259

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623183
Report Date: 09/27/2023
Date Signed: 09/27/2023 04:36:13 PM

Document Has Been Signed on 09/27/2023 04:36 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	SETA - HIRAM JOHNSON HEAD START (INFANT)		FACILITY NUMBER:	343623183
ADMINISTRATOR:	GEETA SING		FACILITY TYPE:	830
ADDRESS:	3535 65TH STREET		TELEPHONE:	(916) 263-3800
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95820
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 25	CENSUS: 23	DATE:	09/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:12 PM
MET WITH:	Amy Nem		TIME COMPLETED:	02:45 PM

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On Wednesday, September 27, 2023 at 1:12 PM, Licensing Program Analysts (LPAs) Tanya Washington and Lea Habtom met with Facility Representative (FR), Amy Nem for the purpose of an unannounced required annual inspection. LPAs observed 23 napping children supervised by six staff in three separate classrooms. All individuals subject to criminal background review have obtained a criminal record clearance. The facility hours of operation are Monday through Friday from 8 AM to 5 PM. FR indicated that currently there are no infants enrolled under 12 months of age.

LPAs toured all classroom spaces, restroom, and outdoor play areas. LPA observed the following documents are posted: License, Parents' Rights Poster, menu, schedule, lead testing brochure, child personal rights, and seat belt law. LPAs observed a functional carbon monoxide detector. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. FR stated that infant bedding is picked up every Friday to be washed by company called Fluff & Fold, spare sheets are available if needed. LPA observed changing tables in arms reach of a sink. FR stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary, and operating condition. Facility provides breakfast, lunch and snack. All meals are delivered to the facility from the mail SETA cafeteria. There are no children enrolled right now who take the baby bottle.

LPAs observed trash bins with tight fitted lids. Facility utilizes electronic sign in/out system called ChildPlus. In case of malfunction of the system there is a paper version of the sign in/ out log. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 09/08/23. LPAs observed children’s roster. Playground equipment and surfaces are free of loose or sharp parts and turf is present under climbing equipment to provide sufficient cushioning. There are sufficient equipment and toys, and shaded areas are supplied by the buildings and overhangs. There is an operational water fountain in every classroom for older toddlers and staff bring out a jug of water and singly use cups for outdoors.

PAGE 1. REPORT CONTINUES ON LIC809-C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SETA - HIRAM JOHNSON HEAD START (INFANT)	FACILITY NUMBER: 343623183
	VISIT DATE: 09/27/2023

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Nine staff and six children's records were reviewed. Both children and staff files were observed to be complete. LPA observed infant needs and services plans, infant sleep plan (LIC 9227), and 15-minute observation checks for napping infants under 24 months. There is at least one staff member present with a current CPR certificate.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPAs discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPAs also informed FR of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

PAGE 2. REPORT CONTINUES ON LIC809-C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SETA - HIRAM JOHNSON HEAD START (INFANT)	FACILITY NUMBER: 343623183
	VISIT DATE: 09/27/2023

NARRATIVE

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FR was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

FR was informed of the www.MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPAs confirmed that the annual fees are current. LPAs informed the FR of the recent regional office relocation and provided updated personal and parent's rights forms and postings.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

During today’s inspection, no deficiencies were observed. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative Amy Nem. Appeal rights were provided.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC809 (FAS) - (06/04)

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