Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614112
Report Date: 05/02/2017
Date Signed 05/09/2017 01:18:31 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:LITTLE FOLKS UNIVERSITYFACILITY NUMBER:
343614112
ADMINISTRATOR:BERNSTEIN, BONNIEFACILITY TYPE:
840
ADDRESS:801 SIBLEY STREETTELEPHONE:
(916) 985-7055
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:40CENSUS: 1DATE:
05/02/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Bonnie BernsteinTIME COMPLETED:
05:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Deena Chavez met with Bonnie Bernstein, Director, for the purpose of an unannounced Required 3 year Annual inspection. The facility was toured inside and out for a health and safety inspection including all activity/classroom areas, kitchen areas, restrooms and outdoor play areas.

LPA reviewed care and supervision of children, conditions of capacity and staffing ratios, medications, toilets, furniture and play equipment, drinking water, food service provisions, and staff and children's records. The facility's hours of operation are Monday to Friday 6:30 AM to 6:15 PM.

LPA observed that cleaning solutions and chemicals were inaccessible to children. There are adequate toys and equipment available for children. The restrooms were observed to be sanitary and in working order. Menus were posted in the facility. Food was appropriately stored in covered containers. Food storage and preparation areas were sanitary. Water was available indoors and out. Outdoor activity areas were appropriately cushioned and free of hazards.

Continued on next page.

SUPERVISOR'S NAME: Monica R FiliceTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Deena ChavezTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2017
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LITTLE FOLKS UNIVERSITY
FACILITY NUMBER: 343614112
VISIT DATE: 05/02/2017
NARRATIVE
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LPA reviewed the sign/in-sign/out sheets, children's records and personnel records (including documentation of the educational background, training and/or experiences and Health Screenings). Several staff members have current Pediatric CPR and First Aid certification. All staff currently employed with the facility have criminal record clearances.
SUPERVISOR'S NAME: Monica R FiliceTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Deena ChavezTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3


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: LITTLE FOLKS UNIVERSITY
FACILITY NUMBER: 343614112
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/02/2017
Section Cited
§1596.7995
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Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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Facility shall ensure that all staff have proof of immunization for Pertussis, Measles, and Influenza. This documentation shall be maintained in staff files. Proof of correction shall be sent to LPA by date indicated

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Several employee files did not contain proof of immunizations to meet SB 792.
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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: Monica R FiliceTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Deena ChavezTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3