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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623934
Report Date: 06/02/2022
Date Signed: 06/02/2022 05:09:38 PM

Document Has Been Signed on 06/02/2022 05:09 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:MAKERS PLACE, THEFACILITY NUMBER:
343623934
ADMINISTRATOR:BOSSERMAN, LESLIEFACILITY TYPE:
850
ADDRESS:2214 21ST STREETTELEPHONE:
(916) 623-5325
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 15DATE:
06/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sophia StultsTIME COMPLETED:
05:15 PM
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On June 2, 2022, at approximately 1:30 PM, Licensing Program Analyst (LPA) Alize Tillery met with Assistant Director Sophia Stults for the purpose of an unannounced required 1 year annual inspection. Upon arrival, LPA observed 9 awake children, supervised by 2 staff and 6 napping children who were unattended. LPA observed the napping children to be in two separate rooms with the door closed. LPA reminded Assistant Director that there should be 100% supervision of the children and staff should have a visual of the children at all times, even when they are napping. The facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM. The facility does not offer transportation services.

LPAs toured all activity and classroom spaces (Classroom #1, Classroom #2, Art Room, Circle Time Room and Napping Room), restrooms and outdoor play area. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and daily schedule. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. Director 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, and the floors appeared to be clean throughout the facility. The program provides an am snack, lunch and pm snack.



LPA discussed COVID19 guidelines with Director. LPA observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Director stated that there is a filtered water jug that is used and children’s personal cups. LPAs observed the facility’s electronic sign in and out system. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 05/26/2022. Playground equipment and surfaces are free of loose or sharp parts. There are sufficient equipment and toys, and there are shaded areas supplied by shade sail and the building.

Report continues on 809-C.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: MAKERS PLACE, THE
FACILITY NUMBER: 343623934
VISIT DATE: 06/02/2022
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5 staff and 10 children's records were reviewed. Both children and staff files were observed to be complete. At least one staff member present today has a current Pediatric CPR and First Aid certification that expires on in 07/2023. LPA observed a current Children’s Roster. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reminded Licensees that 100% supervision is required at all times. LPA reviewed the Department's inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

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.


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 is 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



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.

A deficiency is cited on the following 809D page.

A notice of site visit was given and must remain posted for 30 days.
An exit interview was conducted and the report was reviewed with the Assistant Director, Sophia Stults.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/02/2022 05:09 PM - It Cannot Be Edited


Created By: Alize Tillery On 06/02/2022 at 04:39 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: MAKERS PLACE, THE

FACILITY NUMBER: 343623934

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/02/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type A
Section Cited
HSC
1596.99
(3) Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that LPA observed 6 children napping, unattended, in a separate room with the door closed. This poses an immediate health, safety and personal rights risk to persons in care.
POC Due Date: 06/03/2022
Plan of Correction
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Assistant Director will conduct a training with staff regarding the requirement of 100% supervision of children. Assistant Director will submit proof to LPA Tillery of conducting the training.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Alize Tillery
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2022


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