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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624003
Report Date: 11/05/2021
Date Signed: 11/05/2021 11:24:33 AM

Document Has Been Signed on 11/05/2021 11:24 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:RIO LINDA EARLY LEARNING CENTERFACILITY NUMBER:
343624003
ADMINISTRATOR:YANG, MAYFACILITY TYPE:
830
ADDRESS:631 L STTELEPHONE:
(916) 566-3485
CITY:RIO LINDASTATE: CAZIP CODE:
95673
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: DATE:
11/05/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tabitha ThompsonTIME COMPLETED:
11:40 AM
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Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Fabiola Diaz met with Applicant Tabitha Thompson for the purpose of an announced pre-licensing inspection. Applicant request an infant license to serve 8 infants from 12 months to 24 months and 8 toddlers from age 18 months to 36 months under a Toddler Option Program. The facility operates in adjoining classrooms #19A (Toddlers) and #19B (Infants). The program will operate Monday through Friday from 8:00 AM to 2:30 PM. The fire clearance was granted on 08/26/21.

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 and LPA provided and discussed LIC311A and the forms that must be in each child's and each staff member's file. Applicant stated the Needs and Services plans will be kept in the classrooms. Applicant stated parents will provide all formula, milk, and food for children under 1 and the program will provide provide breakfast, lunch and pm snacks for older infants.

INDOOR ACTIVITY SPACE:
There is one infant classroom that is adjoined: Classroom #19A and #19B. AS and LPA observed a sufficient number of tables and cubbies for infants and toddlers. Facility will need to purchase age appropriate chairs and feed chairs for infants. Infant and toddler activity space is separated by a wall that is 29 inches. Applicant was advised that the wall separation will have to be at least 4 feet tall. Applicant stated they will not have a napping area due to the age the applicant will be serving. Applicant will submit a waiver request indicating the above. AS and LPA observed sufficient napping cots/mats. AS and LPA observed a variety of age-appropriate toys and equipment. There is a first aid kit in each of the classrooms. Medications will be stored in the a locked cabinet and inaccessible to children.

(Report continues on subsequent LIC 809)
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: RIO LINDA EARLY LEARNING CENTER
FACILITY NUMBER: 343624003
VISIT DATE: 11/05/2021
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AS and LPA observed a changing table with a padded surface that is no less than one inch thick that is covered in plastic with raised sides that are at least three inches high. The changing table is within arms reach of a sink. Applicant was advised that toddlers and infants cannot commingle during diaper change. AS and LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. Applicant stated drinking water for indoor and outdoor will be provided via water pitchers. AS and LPA did not observed a carbon monoxide detector in the classroom. AS and LPA observed an electronic sign-in/sign-out system.

AS and LPA measured the classroom. The total classroom space contains a total of 1164.8 square feet, which will accommodate Applicant's requested capacity for 8 infant children and 8 toddlers under the Toddler Option Program. There are four toilets and five sinks available to children, and a separate staff restroom is available. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). AS and LPA observed a changing table with a changing pad that is at least one inch think with raised sides that are at least three inches tall. This changing table will be used for the Toddler Option Program. Applicant stated she will be purchasing a second changing table for the infants. Children who become ill during the day will be isolated in a designated area of the classroom and will use one of the children's restroom stall, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property designated for preschool, infant, and toddler children. The outdoor play area is fenced with a chain link fence that is four feet tall. AS and LPA observed a variety of age-appropriate outdoor toys and equipment. There is a play structure that is designated for children ages 2 to 5. There is a second play structure without a safety label. Applicant was reminded to follow the safety label and staff will provide supervision to ensure children under the age of 2 will not be using the play structure. Applicant submitted a waiver request to share the outdoor space between the preschool, infant, and toddler children. Applicant shall follow the rotated schedule previously submitted. AS and LPA observed woodchips used as cushion. Applicant was reminded to replace woodchips as they get depleted. The playground is shaded by trees and overhangs.

AS and LPA measured the outdoor activity space. The outdoor play area contains a total of 7034.514 square feet, which will accommodate the applicant's requested capacity of 8 infants and 8 toddlers under the Toddler Option Program.

(Report continues on subsequent LIC 809)
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: RIO LINDA EARLY LEARNING CENTER
FACILITY NUMBER: 343624003
VISIT DATE: 11/05/2021
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AS discussed the following: 100% supervision is required at all times; 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.

Prior to this inspection, AS emailed Effects of Lead Exposure brochure and Provider Notice Information (PIN) 21-21 (Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers per AB 2370). AS and LPA reviewed lead testing requirement and COVID-19 technical assistance with the applicant.



This facility plans to provide Incidental Medical Services - IMS. For IMS information, see Evaluator Manuel - Regulation Interpretations and Procedures for Child Care Centers Section 101173 and 101226. A 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 at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.


Licensee 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.


(Report continues on subsequent LIC809)
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: RIO LINDA EARLY LEARNING CENTER
FACILITY NUMBER: 343624003
VISIT DATE: 11/05/2021
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Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Prior to licensure, the following items must be corrected:

1. Updated parent handbook and admission agreement to reflect the age group that the facility will be servicing.
2. Submit waiver for napping area
3. Updated list of furniture and equipment
4. Revised LIC 200A
5. Carbon monoxide detector
6. Feeding chairs and age appropriate size chairs
7. Partitions that is at least 4 feet high to separate the infant from the toddlers under the Toddler Option Program
8. Revised emergency disaster plan to include a second temporary relocation site.
9. Licensing Program Manager's final review

Exit interview conducted and report was reviewed with the Applicant, Tabitha Thompson..

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4