093624317-6-27-2022-03-CC-AMAT-CFSNVS-20220627104825

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093624317
Report Date: 06/27/2022
Date Signed: 06/27/2022 10:48:33 AM

Document Has Been Signed on 06/27/2022 10:48 AM - 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:	FROGGIE FRONTIER PRESCHOOL		FACILITY NUMBER:	093624317
ADMINISTRATOR:	JENNINGS, KRISTEN		FACILITY TYPE:	850
ADDRESS:	1001 OLSON LANE		TELEPHONE:	(916) 667-1404
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY: 57	TOTAL ENROLLED CHILDREN: 57	CENSUS:	DATE:	06/27/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kristin Jennings		TIME COMPLETED:	11:10 AM

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	Licensing Program Analyst (LPA) Arianna Manabat and Application Specialist (AS) Alecia Sifuentes met with Applicant, Kristin Jennings for the purpose of an announced change of ownership pre-licensing inspection. This is a change of ownership from Froggie Frontier (093615992). Applicant request a preschool license to serve 36 preschool children from age two to entry into Kindergarten. Census included 18 preschool children, four staff, and Licensee. The program will operate during the summer, after the last day of the school year until school resumes, 9:00am to 12:45pm Monday through Friday. School year operating hours are from 7:00 AM to 5:30 PM. The fire clearance was granted on 6/17/2022. LPA and AS reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. Applicant stated the facility will provide AM and PM snack with the exception of the summer operating hours. INDOOR ACTIVITY SPACE: There are two classrooms. LPA and AS observed sufficient amount of age- appropriate equipment, toys, tables, and cubbies. There is a first aid kit in each classroom. Applicant stated medications will stored on the top shelf of the cabinet above the sink. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided via water tub with labeled water cups. LPA and AS observed carbon monoxide detectors throughout the facility. LPA and AS observed a sign-in/sign-out sheet posted outside of each individual classroom. (Report continued on subsequent LIC 809)

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022

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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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: FROGGIE FRONTIER PRESCHOOL	FACILITY NUMBER: 093624317
	VISIT DATE: 06/27/2022

NARRATIVE

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LPA and AS measured both classrooms. The total classroom space contains a total of 1325 square feet, which will accommodate the requested capacity for 36 preschool children. There are 4 toilets and 4 sinks available for children to use in the facility. There is a separate private restroom for the staff.

Children who become ill during the day will be isolated in the corner that is adjacent to the staff office. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
There are two outdoor activity spaces for preschool children. Yard 2 is currently not in use. The outdoor play area is surrounded by a chain link fence that is at least four feet tall. LPA and AS observed overhead shade structure, trees, that can be utilized for shade. The playground contains bark that is used for cushioning. LPA and AS observed sufficient amount of age appropriate equipment and toys. Applicant was reminded that children are to use age appropriate toys and equipment.

LPA and AS measured the outdoor space. The outdoor play area contains a total of 7956 square feet, which will accommodate Applicant's request for 36 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

LPA and AS discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA and AS discussed with Applicant any changes that may occur regarding the Director or an employee acting in the Director's absence must be reported to department within 10 working days.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022

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: FROGGIE FRONTIER PRESCHOOL	FACILITY NUMBER: 093624317
	VISIT DATE: 06/27/2022

NARRATIVE

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Applicant 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.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Effective June 27th, 2022, LPA and AS will approve a regular license for a capacity of 36 preschool children, ages two years to entry into Kindergarten.

Exit interview conducted and report was reviewed with the Applicant Kristin Jennings.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022

LIC809 (FAS) - (06/04)

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