<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340316212
Report Date: 04/03/2024
Date Signed: 04/03/2024 03:57:10 PM

Document Has Been Signed on 04/03/2024 03:57 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:SETA - PARKER AVENUE HEAD STARTFACILITY NUMBER:
340316212
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		OSORIO-RUIZ, CARMENFACILITY TYPE:
850
ADDRESS:4516 PARKER AVENUETELEPHONE:
(916) 563-5071
CITY:SACRAMENTOSTATE: CAZIP CODE:
95820
CAPACITY: 20TOTAL ENROLLED CHILDREN: 16CENSUS: 15DATE:
04/03/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Dionna ChismTIME COMPLETED:
TIME VISIT/
INSPECTION 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
On Wednesday, April 3, 2024, Licensing Program Analysts (LPAs) Tanya Washington and Janie Davis met with Facility Representative (FR) Dionna Chism for the purpose of an unannounced required annual inspection. LPAs observed 15 children supervised by three staff. The facility hours of operation are Monday through Thursday from 8:00 AM to 2:30 PM. Facility does not provide transportation.

LPAs toured all classroom spaces, restroom, and outdoor play area. LPAs observed the following documents are posted: License, Emergency Disaster Plan, Earthquake Preparedness, Personal Rights, Parents' Rights Poster, menu, and seat belt law. Cleaning disinfectants, hazardous items are appropriately stored and inaccessible to children. Per FR there are no medications at the facility. Facility Representative 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. All food is protected from contamination, all meals are prepared at an off site SETA cafeteria and delivered daily to the classroom.

LPAs observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Facility Representative stated they use single use cups for children and bring out a clean jug of water for outdoors every time. Facility utilizes electronic sign in and out system called ChildPlus. Facility has record of conducting fire drills at least every six months; last fire drill was documented 03/14/2024. Playground equipment and surfaces are free of loose or sharp parts. LPAs observed sufficient cushioning outdoors. There is sufficient equipment and toys, and there are shaded areas supplied by shade structures.

LPAs observed proper storage of bedding and napping equipment. Facility Representative stated that the bedding gets cleaned weekly.

Report continues on the following page- LIC809C

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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 3
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: SETA - PARKER AVENUE HEAD START
FACILITY NUMBER: 340316212
VISIT DATE: 04/03/2024
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
26
27
28
29
30
31
32
Three staff and five children's records were reviewed. Children's files were observed to be complete. LPAs observed that two out of three staff were missing LIC503- Health Screening Report. LPAs observed a current CPR and First Aid certificate for Staff #2 which is valid until 03/2025. LPAs observed a functional carbon monoxide detector. CCL was not notified of Director change which is required to be reported within 10 days after the change in staff took place.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare 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). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.



This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-carecenters/.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

LPAs informed the Facility Representative of the recent regional office relocation and provided updated personal and parent's rights forms and postings.
Facility Representative was informed of the www.mychildcareplan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During today’s inspection two Type B deficiencies are cited on the following LIC809D page. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative Dionna Chism.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/03/2024 03:57 PM - It Cannot Be Edited


Created By: Tanya Washington On 04/03/2024 at 10:12 AM
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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SETA - PARKER AVENUE HEAD START
FACILITY NUMBER: 340316212

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(b)
Child Care Center Director Qualifications and Duties
(b) All child care centers shall have a director.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPAs learned that there is currently no qualified Director who is assigned to this facility.
POC Due Date: 05/03/2024
Plan of Correction
1
2
3
4
Facility will submit a plan of correction to LPA by POC date of 05/03/2024.
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2024
Plan of Correction
1
2
3
4
During the record review LPAs learned that Staff #1 and Staff #2 did not have a Health Screen Report on file.
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:Amanda Blesi
LICENSING EVALUATOR NAME:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3