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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 090311383
Report Date: 11/08/2021
Date Signed: 11/08/2021 01:41:36 PM

Document Has Been Signed on 11/08/2021 01:41 PM - It Cannot Be Edited

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:HAPPY KIDS PRESCHOOL & DAY CARE - CAMBRIDGEFACILITY NUMBER:
090311383
ADMINISTRATOR:FRYETTE, LORIFACILITY TYPE:
850
ADDRESS:2635 CAMBRIDGETELEPHONE:
(530) 676-2223
CITY:CAMERON PARKSTATE: CAZIP CODE:
95682
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 20DATE:
11/08/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Lori FryetteTIME COMPLETED:
01:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Martinez conducted an unannounced visit and met with Director Lori Fryette. Upon entering the facility LPA Martinez was met by the Assistant Director and later with the Director after the facility tour. LPA Martinez requested a tour of the facility at 12:18PM while the Director made her way back to the facility. LPA first toured the three and four's Room where S1 was observed with a mask on her chin. At this time S2 was walking into the room with a mask on. LPA and Assistant Director then walked to the Kitchen where S3 was observed with a mask on but below the nose. LPA Martinez then observed the infant room where two staff S4 and S5 were present. S4 was observed with a mask on but pulled down to the chin and S5 was observed wearing the mask appropriately. LPA and the Assistant Director walked down the hall to observed the two year old room where S6 was observed with a mask on her chin. This facility report was reviewed and discussed with the licensee. LPA reviewed and provided appeal rights. 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. Their signature on this form acknowledges receipt of this form. LPA Martinez provided the Director with COVID-19 Guidance during today's visit.

Based upon today’s inspection, a Title 22 deficiency was cited on the subsequent page 809D.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Mikah Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2021
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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Document Has Been Signed on 11/08/2021 01:41 PM - It Cannot Be Edited


Created By: Mikah Martinez On 11/08/2021 at 01:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: HAPPY KIDS PRESCHOOL & DAY CARE - CAMBRIDGE
FACILITY NUMBER: 090311383

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2021
Section Cited
CCR
101223(a)(2)

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The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by; Based on observations LPA observed 4 out of 6 staff wearing a mask below their nose or chin. This is a potential
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LPA Martinez provided the Director with COVID-19 Guidance and discussed the requirement for masks between staff and children. The Director stated a staff meeting will be held to discuss mask use. Director will send in plan for when the meeting will be held and signatures for attending no later than 11/19/21.
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health and safety risk to children in care.
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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:Maria Mayorga
LICENSING EVALUATOR NAME:Mikah Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2021


LIC809 (FAS) - (06/04)
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