343623903-6-22-2021-03-CC-MLOR-C48NXX-20210622105151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623903
Report Date: 06/22/2021
Date Signed: 06/22/2021 10:51:59 AM

Document Has Been Signed on 06/22/2021 10:51 AM - 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:	MARILOK CHILD CARE CENTER		FACILITY NUMBER:	343623903
ADMINISTRATOR:	WYNNE, NYIKA		FACILITY TYPE:	850
ADDRESS:	2530 TRACTION AVENUE		TELEPHONE:	(614) 599-5953
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95815
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/22/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Okechukwu Onyekwere		TIME COMPLETED:	11:00 AM

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	Application Specialists (AS) Mai Lor and Alecia Sifuentes met with Applicant Okechukwu Onyekwere for the purpose of an announced pre-licensing inspection. Applicant requests a preschool license to serve 30 preschool children from age three to entry into first grade. The program will operate Monday through Friday from 6:30 AM to 6:30 PM. The fire clearance was granted on 4/1/21. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. AS provided and discussed LIC311A and the forms that must be in each child's and each staff member's file. The facility will provide breakfast, lunch, and afternoon snacks. INDOOR ACTIVITY SPACE: There are two preschool classrooms. AS observed a sufficient number of tables, chairs, cubbies, and napping mats for 30 preschool children. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS observed two water dispensers, one in each classrooms. A water jug was observed for outdoor use. AS observed first aid kits in each of the classrooms. AS observed a functional carbon monoxide detector in all classrooms. Facility will be using an electronic sign in and sign out system. Children who become ill during the day will be isolated in the office area, if necessary. Medication will be stored in the director's office. AS measured two classrooms. The total classroom space contains a total of 2150.919 square feet, which accommodates Applicant's request for 30 preschool children. There are six toilets, and five sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area, if necessary. (Report continues on 809)

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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: MARILOK CHILD CARE CENTER	FACILITY NUMBER: 343623903
	VISIT DATE: 06/22/2021

NARRATIVE

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OUTDOOR ACTIVITY SPACE
There is one outdoor area on the property for preschool children. The outdoor play area is fenced with a chained linked fence that is four feet tall. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs.

AS measured the outdoor activity space. The outdoor play area contains a total of 2578.883 square feet, which accommodates Applicant's request for 30 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

The facility's Plan of Operation is located in the preschool file. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available .

AS discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. As discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

(report continues on subsequent LIC809)

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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: MARILOK CHILD CARE CENTER	FACILITY NUMBER: 343623903
	VISIT DATE: 06/22/2021

NARRATIVE

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The following items are required before a license will be issued:

1. Second reference letter for director

2. Required posting--menu, daily activity, and earthquake preparedness checklist

Exit interview conducted.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

LIC809 (FAS) - (06/04)

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