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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500615
Report Date: 05/17/2022
Date Signed: 05/17/2022 10:30:39 AM

Document Has Been Signed on 05/17/2022 10:30 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:SUNRISE INFANT AND TODDLER CENTERFACILITY NUMBER:
574500615
ADMINISTRATOR:TICO ZENDEJASFACILITY TYPE:
830
ADDRESS:17050 OMEGA STREETTELEPHONE:
(530) 787-4110
CITY:ESPARTOSTATE: CAZIP CODE:
95627
CAPACITY: 16TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
05/17/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Esthela ChavezTIME COMPLETED:
11:00 AM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Chayntel Hunter met with Director, Esthela Chavez for the purpose of an announced preliminary site visit to view and pre-measure the classroom space. Licensee requests an infant license to serve 8 infant children from birth to two years of age and 8 toddlers age 18-36 months under the Toddler Option Program. The facility is currently licensed for 30 preschool children, but plans to submit a Change of Capacity to 6 in order to accommodate the infant and toddler children. The program will operate Monday through Friday from 6:00 a.m. to 6:30 p.m. The fire clearance was granted and received on 5/16/2022. The facility will be providing breakfast, lunch, and snacks for the preschool children. Parents will provide formula, breast milk, and baby food for their children.

INDOOR ACTIVITY SPACE:
There is one classroom. The Licensee plans to divide the classroom into four spaces to include a preschool classroom, toddler classroom, infant classroom, and crib area. Licensee plans to purchase 8 cribs.

AS measured the classroom. The total classroom space contains a total of 1,057 square feet. There are two toilets and three sinks for the children, and a separate private restroom for the staff. Licensee plans to purchase two changing tables. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. Licensee plans to divide the playground into two separate yards. There is a play structure, however AS did not observe a safety label including the age range. Licensee will provide AS with a age range from the manufacturer. AS observed a sufficient amount of equipment and toys for the preschool children. Licensee plans to purchase infant equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs.

Report continues on LIC809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2022
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: SUNRISE INFANT AND TODDLER CENTER
FACILITY NUMBER: 574500615
VISIT DATE: 05/17/2022
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AS measured the outdoor activity space. The outdoor play area contains a total of 14,626 square feet. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Exit interview conducted and report was reviewed with the Director, Esthela Chavez.

The following items are required before a license will be issued:
1. Remaining documents listed on LIC184.
2. Licensing Program Manager file review.
3. Updated granted STD850.
4. Pre-licensing inspection.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
LIC809 (FAS) - (06/04)
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