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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343627667
Report Date: 02/24/2026
Date Signed: 02/24/2026 02:55:39 PM

Document Has Been Signed on 02/24/2026 02:55 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:PLAYTIME ACADEMY & NURSERYFACILITY NUMBER:
343627667
ADMINISTRATOR/
DIRECTOR:		TBDFACILITY TYPE:
860
ADDRESS:6035 MAIN AVETELEPHONE:
(916) 370-5779
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 56TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/24/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Megan CoveyTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On February 24, 2026 at approximately 9:30 AM, Licensing Program Analyst (LPA), Josiah Gathing met with Licensee Representative (LR) Megan Covey for an announced Pre-Licensing inspection. The facility was previously licensed as Iconic Kids Childcare & Learning Center #343622007 and #343622008. Applicant is requesting a license for 8 infants (ages 0 to 24 months) in the Infant room, 18 Toddlers (ages 18-36 months) in the Toddler Room, 15 Preschool children (ages 2 years to entry into first grade) in the Preschool Room, and 11 School-Age children (from TK to 6th Grade) in the School-Age Room. The total requested capacity is 52 children. Applicant previously requested a total capacity of 56, but submitted an updated application during today's inspection due to limited activity space and toileting. Areas of the facility not included in indoor activity space include the Entryway, Hallway, Office, Staff Restroom, Kitchenette, and Upstairs Unit A. Unit A is a residence and LR stated that the resident will obtain fingerprint clearance. Hours of operation will be Monday through Friday, 7:00 AM to 5:30 PM.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed LR that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, LR stated that they will be stored in a locked cabinet in the kitchenette, inaccessible to children. First aid kit is also stored in the kitchenette cabinet. There is an operational carbon monoxide detector on site located in the Hallway. All required licensing documents were observed posted in the entryway. Children will be signed in and out via tablet near the entrance.

LPA measured total indoor infant activity space of 314.1774 square feet, which is sufficient to accommodate the requested capacity of 8 infants. LPA measured total indoor toddler activity space of 641.3189 square feet, which is sufficient to accommodate the requested capacity of 18 toddlers. LPA measured total indoor preschool activity space of 631.5085 square feet which is sufficient to accommodate the requested capacity of 15 preschool children. LPA measured total indoor school-age activity space of 412.251 square feet which is sufficient to accommodate the requested capacity of 11 school-age children.
Cont. on LIC809-C...

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2026
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 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: PLAYTIME ACADEMY & NURSERY
FACILITY NUMBER: 343627667
VISIT DATE: 02/24/2026
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LPA observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies,cots, cribs, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is available in the classrooms via large jugs in each classroom and children's individual containers provided by parents/guardians. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. The fire department provided an approved fire clearance form to Licensing on 1/9/2026. On 2/24/2026 LPA submitted a new fire clearance request for the reduced capacity.

LPA observed two changing tables, one in the Infant Room and one in the Toddler Room. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing tables are at least 3” high and the changing tables are within arm’s reach of a sink. Diapering sinks are not used for meal preparation or dishwashing. The infant napping area is physically separated from the indoor activity space according to regulation. There are 8 cribs meeting regulatory requirements in the infant napping area. Sleep Logs and Needs and Services Plans will be kept in in a binder in the infant room.

There are three toilets for toddlers in the Toddler Restroom, one toilet for preschool children in the Preschool Restroom, and one toilet for school-age children in the School-Age Restroom. These are sufficient to accommodate the requested capacity in each component. The Preschool Restroom is connected to the School-Age indoor space. The Preschool and School-Age indoor spaces are in a single room with a partial wall for separation. LR stated during today's inspection that Preschool children will always be accompanied and supervised during restroom use according to regulation. During today's inspection, LR submitted a waiver request to allow preschool children to access the preschool restroom by crossing the school-age indoor space. The School-Age Restroom has a door to provide individual privacy. The facility has a total of 7 sinks available to infants, toddlers, preschoolers, and school-age children. These are sufficient to accommodate the requested facility total capacity of 52 children. There is a separate staff restroom equipped with a toilet and sink. The isolation area for children who are ill will be the office.

Parents will provide meals and snacks for children in care. The facility will ensure emergency snacks and meals are made available for children. There is a refrigerator in the infant room for milk and formula storage. Hazardous solutions and cleaning supplies are stored in classroom closets on high shelves, inaccessible to children.
Cont. on LIC809-C...

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: PLAYTIME ACADEMY & NURSERY
FACILITY NUMBER: 343627667
VISIT DATE: 02/24/2026
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The facility playgrounds are fenced to prevent children from accessing outside areas. Fencing was at least four feet high in all areas. LPA measured outdoor infant activity space of 340.00 square feet, which is not sufficient to accommodate the requested capacity of eight infants. During today's inspection LR submitted a waiver request for staggered outdoor activity times for infants. LPA measured outdoor toddler activity space of 804.00 square feet, which is not sufficient to accommodate the requested capacity of 18 toddlers. During today's inspection LR submitted a waiver request for staggered outdoor activity times for toddlers. LPA measured outdoor preschool activity space of 2,109.688 square feet, which is sufficient to accommodate the requested capacity of 15 preschool children. LPA measured outdoor school-age activity space of 2,868.408 square feet, which is sufficient to accommodate the requested capacity of 11 school-age children. Shade is provided via sun sails, trees, and the building.

There are sufficient outdoor toys and play equipment available on the playgrounds. LPA reminded LR to ensure that all play equipment and structures are only utilized by appropriate age groups. Drinking water is available outdoors via children's individual containers.

LR was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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).

LR was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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.
Cont. on LIC809-C...

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: PLAYTIME ACADEMY & NURSERY
FACILITY NUMBER: 343627667
VISIT DATE: 02/24/2026
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LR was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with LR, Megan Covey.

The following corrections are needed prior to the issuance of the license:

-Waiver review and approval for staggered infant outdoor activity space.


-Waiver review and approval for staggered toddler outdoor activity space.
-Waiver review and approval for preschool children to cross the school-age room for restroom access.
-Approved fire clearance for reduced capacity.
-Submission of any additional requested documents.
-Criminal background clearance for resident of Unit A.
-Final review and approval by Licensing Program Manager.

LR understands that all proof of corrections must be provided to the department within 30 days, or the application may be denied.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC809 (FAS) - (06/04)
Page: 5 of 5