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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093616199
Report Date: 04/28/2022
Date Signed: 04/28/2022 03:30:24 PM

Document Has Been Signed on 04/28/2022 03:30 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:GIFT OF KIDS, THEFACILITY NUMBER:
093616199
ADMINISTRATOR:TOMMASINI, JENNIFERFACILITY TYPE:
830
ADDRESS:5130 GOLDEN FOOTHILLSTELEPHONE:
(916) 941-8751
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: DATE:
04/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Jennifer TommasiniTIME COMPLETED:
04:00 PM
NARRATIVE
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On Thursday, April 28th, 2022, at 9:25 A.M., Licensing Program Analysts (LPAs) Arianna Manabat and Karyn Guerra met with Licensee Jennifer Tommasini, for the purpose of a 1 year- required inspection. During today’s visit, LPAs observed 23 infant children supervised by 7 staff. Hours of operation are from 6:30am to 6:00 p.m., Monday through Friday.

LPAs conducted a health and safety inspection of the classroom, restrooms, and food service areas. LPAs observed that the facility had the required postings: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat laws, menus, waivers, and daily schedule. All cleaning compounds and hazardous items are appropriately stored and inaccessible to children in care. LPAs informed the facility that they need to post waivers.

LPAs observed a changing table with raised sides within arm's reach of a sink. Bins for solid waste have tight fitting lids. The floors appeared clean throughout the facility. Facility provides formula and breastmilk for infant children. LPAs observed bottles labeled with children's names. Other food in the facility was properly stored to prevent contamination. Drinking water is provided to children via labeled water bottles in caddies. LPAs observed sign in and sign out logs are done virtually. There are no firearms, poisons, or bodies of water on the premises.

LPAs conducted a health and safety inspection of the outdoor space and playground equipment. The surfaces were free of loose or sharp parts. LPAs observed wood chips to provide cushioning. Outdoor shade was provided by trees. Water for drinking is accessible indoors and outdoors.

At 12:55 p.m., LPAs observed three infants (C1, C2, C3) who are unable to climb out of a crib sleeping on cots in the One's classroom. This poses an immediate threat to the health and safety of children in care.

Continued on LIC809-C ……

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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 04/28/2022 03:30 PM - It Cannot Be Edited


Created By: Arianna Manabat On 04/28/2022 at 02:28 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: GIFT OF KIDS, THE
FACILITY NUMBER: 093616199

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
Phys
Infant Care Center Sleeping Equipment
(b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as evidenced by Licensing Program Analysts (LPAs) observing three infant children in care sleeping on cots in the ones classroom. All three infants were under 12 months of age. LPAs intereviewd staff members and Licensee to confirm the children's inability to climb out of a crib. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/29/2022
Plan of Correction
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License stated that they would begin the process of transferring infant children from the one's room to the babies room designated with cribs. The child will have a clean and labeled crib available. Licensee understands that bed linen shall not be shared and must be changed for the appropriate infant. LPA will conduct a follow-up inspection.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Arianna Manabat
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2022


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: GIFT OF KIDS, THE
FACILITY NUMBER: 093616199
VISIT DATE: 04/28/2022
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……Continued from LIC809……

LPAs reviewed staff and children's records. Each child's file contained an admission agreement, emergency card, health history, immunizations, and acknowledgement of receipt of personal rights, consent for emergency medical treatment, and parent’s rights. LPAs observed valid First aid and CPR certification for at least one staff on the facility premises. LPAs observed current staff immunization, employee rights, and documentation of the educational background, training, and/or experience. Licensee was informed that Mandated reporter trainings need to be conducted every two years.

Staff was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPAs discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

.... continued on LIC809C....

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
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: GIFT OF KIDS, THE
FACILITY NUMBER: 093616199
VISIT DATE: 04/28/2022
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……Continued from LIC809 C……

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. An exit interview was conducted with Director, Diana Wise. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
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