Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615376
Report Date: 06/29/2016
Date Signed 06/29/2016 01:04:07 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 PLAYSCHOOLFACILITY NUMBER:
343615376
ADMINISTRATOR:INGALLS, DANELLEFACILITY TYPE:
850
ADDRESS:2925 ROOT AVENUETELEPHONE:
(916) 487-8411
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:30CENSUS: 15DATE:
06/29/2016
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Danelle IngallsTIME COMPLETED:
01:15 PM
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
LPA Peters met with the Director. This facility is licensed for 30 preschool age children with a school age option of up to 12 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 7 preschool age children, with 1 teacher, 8 school age children with 1 staff, and 6 infants with 1 staff.

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

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: 06/29/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2016
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
FACILITY NUMBER: 343615376
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/29/2016
Section Cited
101227 (a)(6)
1
2
3
4
5
6
7
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 in facility.
1
2
3
4
5
6
7
Director stated she will update menu and post as required by the due date.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 06/29/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2016
LIC809 (FAS) - (06/04)
Page: 2 of 2