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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623895
Report Date: 04/24/2023
Date Signed: 04/24/2023 02:50:04 PM

Document Has Been Signed on 04/24/2023 02:50 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:DISCOVERY TREE SCHOOL - CAPITAL CITYFACILITY NUMBER:
343623895
ADMINISTRATOR:HEBERT, KAPRIAFACILITY TYPE:
830
ADDRESS:744 P STREETTELEPHONE:
(916) 448-1661
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 6DATE:
04/24/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kapria HebertTIME COMPLETED:
03:00 PM
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At 1:00 p.m. on Monday, April 24th, 2023, Licensing Program Analyst (LPA) Karyn Guerra and Licensing Program Manager (LPM) Seychelle De Luca, met with Director, Kapria Hebert, for the purpose of an unannounced case management inspection. A census was conducted. At 1:10 p.m., LPA observed 2 infant children, awake, with 1 staff (S1) in the main infant classroom space. LPA observed 2 infants napping in cribs in the crib area. 2 additional infants and 1 toddler option child (C1), were napping on floor mats in the crib area. Infant child 2 (C2) was observed napping on a floor mat in the crib area. It was discovered via interview that C2 is under 1 year old and is not able to climb out of a crib. LPA observed 8 toddler option children on napping floor mats supervised by 1 staff (S2) in the walled infant activity space next to the crib space. No children were observed in the toddler option classroom.

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. Licensee's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director, Kapria Hebert. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2023
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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Document Has Been Signed on 04/24/2023 02:50 PM - It Cannot Be Edited


Created By: Karyn Guerra On 04/24/2023 at 01:53 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: DISCOVERY TREE SCHOOL - CAPITAL CITY
FACILITY NUMBER: 343623895

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2023
Section Cited
CCR
101416.5(b)

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Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met, as evidenced by:
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LPA will conduct a follow up inspection.
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Based on observation Staff 1 (S1) was supervising 6 infants (2 awake in activity space, 4 napping in crib space). This poses an immediate risk to the health and safety of children in care.
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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: 04/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/24/2023 02:50 PM - It Cannot Be Edited


Created By: Karyn Guerra On 04/24/2023 at 02:19 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: DISCOVERY TREE SCHOOL - CAPITAL CITY
FACILITY NUMBER: 343623895

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/25/2023
Section Cited
CCR
101161(a)

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Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met, as evidenced by:
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Director stated toddler option children will nap in their toddler option classroom moving forward. Director will provide written statement to LPA by POC due date.
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Based on observations, toddler option children were observed napping in the crib and activity space in the infant classroom. This poses a potential risk to the health and safety of children in care.
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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: 04/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023


LIC809 (FAS) - (06/04)
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