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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340303096
Report Date: 12/02/2021
Date Signed: 12/02/2021 03:49:38 PM

Document Has Been Signed on 12/02/2021 03:49 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:DISCOVERY LEARNING CENTERFACILITY NUMBER:
340303096
ADMINISTRATOR:CHARLTON, JAMISONFACILITY TYPE:
850
ADDRESS:4444 SAN JUAN AVENUETELEPHONE:
(916) 966-7076
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY: 27TOTAL ENROLLED CHILDREN: 0CENSUS: 21DATE:
12/02/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Stephanie ParkesTIME COMPLETED:
04:00 PM
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    Licensing Program Analyst (LPA) Gagandeep Singh met with facility representative, Stephanie Parkes, for a case management inspection related to an incident. Purpose of the inspection was explained.

    On November 16, 2021, the facility self-reported that on November 15, 2021, while making playdough with children at a table, a tea pot with warm water tipped over and caused injury to a child and a staff member. During today’s inspection, LPA inspected the location of the incident and interviewed the staff member, Stephanie, who was present and got injured during the incident. Per Stephanie, Stephanie had group of four children at table in the ‘Garden patio’ area and tea pot with warm water, not boiling water, tipped over due to imbalance because of uneven surface. Per Stephanie, the child was brought to the office, where the director, Jamison Charlton, helped the child and contacted the parent. Per Stephanie, child’s parent arrived within 20 minutes and took the child to the Emergency department. Per Stephanie, the child has recovered and is back in care. Per Stephanie, after the incident, the facility conducted the health and safety meeting with all staff and discussed the safe procedures. Based on the information collected today, it was found that incident did not occurred due to any violation of regulations. Copy of this report was reviewed and provide to the facility representative. Copy of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 12/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/02/2021
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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