Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293610491
Report Date: 04/26/2017
Date Signed 04/26/2017 11:58:21 AM

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:OUR PLAYHOUSE TOOFACILITY NUMBER:
293610491
ADMINISTRATOR:LOVELADY, VIDAFACILITY TYPE:
850
ADDRESS:415 COYOTE STREETTELEPHONE:
(530) 265-3262
CITY:NEVADA CITYSTATE: CAZIP CODE:
95959
CAPACITY:30CENSUS: 26DATE:
04/26/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Vida LoveladyTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Amie Randa met with Director Vida Lovelady for an unannounced annual inspection. Today’s census was 26 preschool aged children and six staff members, who have all been finger-print cleared through Community Care Licensing. The facility operates Monday-Friday 7:00am-6:00pm. LPA toured the facility including all activity/classroom areas, food service area and restrooms. LPA observed that furniture and equipment are in good condition, the food preparation area is kept clean and sanitized and the restrooms are safe and sanitary. The Director stated that the facility provided morning/afternoon snack and parents provide lunch; LPA observed a current menu posted.

LPA observed that at least one staff member present during today’s inspection has a current Pediatric CPR/First Aid that expires on 06/2018. LPA observed that poisons are locked, cleaning compounds are inaccessible to children and the Director stated there are no firearms or bodies of water on the property. LPA reviewed care and supervision of children and staffing ratios, there is one teacher for every 12 children in care. LPA observed that medications are centrally stored and inaccessible to children. LPA reviewed children’s files and observed that each child had their Identification/Emergency Information and the Consent for Medical Treatment form filled out and signed by their authorized representative. LPA also reviewed staff's educational background /transcripts, and the facility has the appropriate staffing that meet the educational requirements. LPA observed that outdoor activity space surfaces are free of hazards, playground equipment is in safe condition and drinking water is made readily available to children both indoors and outdoors.

LPA discussed Departments inspection authority regulations with the Director and informed her that if any changes occur regarding the Designee/Director or an employee acting in their absence must be reported to Department within 10 working days.
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Amie RandaTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2017
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: OUR PLAYHOUSE TOO
FACILITY NUMBER: 293610491
VISIT DATE: 04/26/2017
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LPA also discussed Unusual Incident Reports (UIRs) and reporting requirements. LPA informed the Director that if any unusual incidents occur she must contact the Department within 24 hours and an UIR must be submitted with 7 day, describing the specifics to the incident.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised the licensee of their responsibility to stay current in regards to new regulations.

LPA discussed the new Immunization Regulations SB 792, the requirement that all individuals working or volunteering at a licensed Child Care facility must have vaccinations against, Pertussis, Measles and Influenza. LPA conducted file reviews and LPA observed proof that the facility staff has been vaccinated against Measles, Pertussis and Influenza.

LPA discussed the new Incidental Medical Services (IMS) policies with the licensee. The facility
is not currently providing IMS; however LPA discussed the IMS policy. For IMS information see the Evaluator Manual Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and Medication Regulations 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 was provided: US Department of Justice (USDOJ), 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: www.ada.gov/childqanda.


No Title 22 Deficiencies cited were observed in the areas that were evaluated. LPA read this report to the licensee, she stated understands today’s inception. Appeal Rights were provided, Notice of Site Visit posted and the licensee understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Amie RandaTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2017
LIC809 (FAS) - (06/04)
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