Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615376
Report Date: 06/05/2015 12:00:00 AM
Date Signed 06/05/2015 01:37:14 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:WEE TYMES PLAYSCHOOL, INC.FACILITY NUMBER:
343615376
ADMINISTRATOR:INGALLS, DANELLEFACILITY TYPE:
850
ADDRESS:2925 ROOT AVENUETELEPHONE:
(916) 487-8411
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:30CENSUS: DATE:
06/05/2015
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Danelle IngallsTIME COMPLETED:
01:55 PM
NARRATIVE
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LPA Peters met with the Director. This facility is licensed for pre school age children.
The LPA toured the facility inside and outside including all activity/classroom areas, the isolation area, food service area, restrooms and outdoor play areas. LPA reviewed care and supervision of children, staffing ratios, health related services, including medications and first aid supplies, furniture, equipment, drinking water and food service provisions.

LPA observed a total of 12 pre school age children, with two teachers.

LPA observed that all of the required forms were posted including a license, LPA did not observe a meal/snack menu that meets regulation, parents' rights' poster, emergency care and disaster plan.

LPA reviewed the sign/in-sign/out sheet, children's and personnel records. All staff currently employed with the Center have criminal record clearances. At least one staff member present today has current Pediatric CPR and First Aid.

LPA conducted exit interview and presented director with a copy of appeal rights.


Title 22 Deficiencies are cited on the subsequent pages of this report.
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Keven PetersTELEPHONE: (916) 216-7796
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2015
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 2


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: WEE TYMES PLAYSCHOOL, INC.
FACILITY NUMBER: 343615376
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/03/2015
Section Cited
101227 (a)(6)
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Food Service. Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request. LPA did not observe a posted menu.
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Director stated they will email LPA a menu of daily snacks provided by due date.
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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: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Keven PetersTELEPHONE: (916) 216-7796
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2015
LIC809 (FAS) - (06/04)
Page: 2 of 2