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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293624727
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:50:48 PM

Document Has Been Signed on 01/26/2023 12:50 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:LITTLE GEMS OF THE SIERRAFACILITY NUMBER:
293624727
ADMINISTRATOR:LARA, ABBIEFACILITY TYPE:
850
ADDRESS:12716 NORTHWOODS BLVD. #2 & #3TELEPHONE:
(530) 219-7361
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: DATE:
01/26/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Andorra Fierro and Lauren BelloTIME COMPLETED:
01:00 PM
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Application Specialist (AS) Mai Lor and Licensing Program Manager (LPM) Keven Peters met with Applicant Andorra Fierro, Board Members Lauren Bello and Knoop-Koblick for the purpose of an announced pre-licensing change of ownership inspection. Present during this inspection is Licensee Abbie Lara. This is a change of ownership from Conecta Preschool #293622287. Applicant is requesting a preschool license to serve 30 preschool children from age two to entry into kindergarten. The program will operate Monday through Friday from 8:30 AM to 4:00 PM. The fire clearance was granted on 11/23/2022.

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. Entrance Checklist was provided to the applicant.

INDOOR ACTIVITY SPACE:
The preschool is located in a public two-story building. The bottom floor has a one restroom equipped with two toilets, and three sinks. Applicant is requesting to use an additional room directly across from the classroom as the staff and isolation room. The upstairs floor has three classrooms and does not have toilets or sinks available for children. Applicant was advised that children located in the upper floor will need to be escorted to use the restroom located downstairs. AS observed a balcony that runs along the side of the classrooms. Applicant was advised that the balcony is off limit and is not part of the licensed area until further clarification is obtained.


(Report continued on subsequent LIC 809)
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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 3
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: LITTLE GEMS OF THE SIERRA
FACILITY NUMBER: 293624727
VISIT DATE: 01/26/2023
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AS observed sufficient amount of age-appropriate equipment, toys, tables. Applicant stated she has additional cots and cubbies that she will bring from the currently licensed location. There is a first aid kit in each classroom. Applicant stated medications will stored in the kitchen. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided individualized water bottles. AS did not observed a carbon monoxide detector in the facility. AS observed a paper sign-in/sign-out system. Applicant stated the facility will provide morning and afternoon snack, and lunch.

The classrooms were previously measured on 4/5/18 and 4/30/18. The total classroom space contains a total of 1,341 square feet. which will accommodate the requested capacity for 30 preschool children. An additional staff office (located across from the downstairs classroom) was inspected but will not be used as square footage towards the capacity. There is a separate private restroom for the staff. Children who become ill during the day will be isolated in the staff office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is an outdoor activity space for preschool children. The outdoor play area is surrounded by a chain linked fence that is at least four feet tall. No play structure or climbing structure were observed. Applicant stated that she will bring additional outdoor equipment. Trees and overhangs are utilized as shade.

The outdoor space was previously measured 4/5/2018. There have been no changes to the outdoor square footage. The outdoor play area contains a total of 2,627 square feet, which will accommodate Applicant's request for 30 preschool children.

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. 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.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LITTLE GEMS OF THE SIERRA
FACILITY NUMBER: 293624727
VISIT DATE: 01/26/2023
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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.

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.

The following items are required before a license will be issued:

1..Carbon monoxide detector


2. Pending review of director exception request

LPM Peters reviewed CCC Application packet prior to the visit and approved the packet. As of today 01/26/2023 LPM Approves licensure of the facility. The facility plans to begin operating as Little Gems of the Sierra at close of business on Friday 01/27/2023.

Exit interview conducted and report was reviewed with the Facility Representative, Andorra Fierro and Board President Lauren Bello

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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