Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615376
Report Date: 12/18/2017
Date Signed 12/18/2017 11:36:21 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:WEE TYMES PLAYSCHOOLFACILITY NUMBER:
343615376
ADMINISTRATOR:INGALLS, DANELLEFACILITY TYPE:
850
ADDRESS:2925 ROOT AVENUETELEPHONE:
(916) 487-8411
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:30CENSUS: DATE:
12/18/2017
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Danelle IngallsTIME COMPLETED:
11:35 AM
NARRATIVE
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Licensing Program Analyst (LPA) Emerita Curiel met with the Director/Owner Danelle Ingalls to clear deficiencies from a previous annual inspection. The annual was conducted on 11/14/17 and the facility was cited three type B deficiencies.

During today's inspection, LPA Curiel toured the facility, today's census was 8 preschool age children with 2 staff members. LPA observed the Notice of Site visit posted.

LPA will clear two deficiencies from the previous inspection was cleared. POC letter was printed, and provided to the Director.

LPA reviewed report with the Director/Owner and exit interview was conducted.

Refer to subsequent pages of report for deficiency issued. Failure to correct and repeat violation Civil penalty issued for failure to meet plan of correction by due date of Dec. 14, 2017. Appeal rights provided. Notice of site visit posted.


SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Emerita CurielTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2017
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: WEE TYMES PLAYSCHOOL
FACILITY NUMBER: 343615376
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/18/2018
Section Cited
HSC
1597.622
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Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between
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To clear this deficiency all staff members shall send LPA documentation that all the staff are immunized by POC 1/18/18
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August 1 and December 1 of each year. All staff present at the center did not have proof of immunizations.
Issued Civil Penalty $250
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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: Emerita CurielTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2017
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2017
LIC809 (FAS) - (06/04)
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