Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306212
Report Date: 11/06/2015
Date Signed 11/06/2015 12:38:36 PM

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:DOT TOT CENTER FOR INFANTSFACILITY NUMBER:
340306212
ADMINISTRATOR:GINA QUERALFACILITY TYPE:
830
ADDRESS:1630 12TH STREETTELEPHONE:
(916) 442-5421
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY:24CENSUS: 12DATE:
11/06/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gina QueralTIME COMPLETED:
12:45 PM
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3/Licensing Program Analyst Eunique LeGuie met with site director Gina Queral for the purpose of an annual random visit. LPA toured the building including all activity and classroom spaces, restrooms, food service and outdoor play areas. Appropriate ratio, care and supervision were observed during the visit. Designee was reminded never to exceed the conditions, limitations and capacity specified on the license.

Toxic and hazardous items are appropriately stored and inaccessible to children. Furniture and materials are in good condition. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under climbing equipment are cushioned with materials to absorb the fall. Toileting facilities are in safe and sanitary condition. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste had lids. Uncontaminated drinking water was readily available to children both indoors and outdoors. Menus were posted and sign in and out sheets consisted of full legal signatures. LPA observed medication storage, equipment and supplies. Incidental Medical Services (IMS) was discussed. Designee was advised to refer to the CCC EM Policy-101173 for additional information regarding IMS.

Children’s and personnel records were reviewed. Needs & Services plans, and feeding plans were observed. The infant indoor and outdoor space is physically separate from the preschool. Infant bottles, dishes and containers are appropriately labeled. Sufficient napping equipment was available. At least one staff member present today has current Pediatric CPR and First Aid certification. All staff currently employed with the facility has obtained a criminal record clearance and health screening. There are no firearms, baby walkers or bodies of water on the premises. LPA reviewed Departments inspection authority and discussed with designee 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.

An exit interview was conducted. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. Appeal rights were provided.

No Title 22 deficiencies were cited during this visit.

SUPERVISOR'S NAME: Monica R FiliceTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Eunique LeGuieTELEPHONE: 916-491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2015
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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