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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343601112
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:10:14 PM

Document Has Been Signed on 08/12/2021 12:10 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:ACTION DAY LEARNING CENTERFACILITY NUMBER:
343601112
ADMINISTRATOR:CAMPBELL, JOYCEFACILITY TYPE:
840
ADDRESS:400 STAFFORD STREETTELEPHONE:
(916) 985-0976
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 25TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
08/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Joyce CampbellTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Kelly Ferrara met with Director Joyce Campbell for an unannounced annual inspection on August 12th, 2021. At 9 AM, LPA toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included two school age children being supervised by one staff. Appropriate ratio and care and supervision were observed during today's inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 6:15 AM to 6 PM.

Classrooms all appeared clean including the carpets and floor. Chemicals were kept inaccessible to children on a high shelf. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. There are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. The children bring their own snacks and lunches from home and the facility has food available as a back up. LPA observed all required licensing documentation was posted for parental review. LPA observed that parents are signing their children in and out of the center electronically. LPA discussed current Covid guidelines with the Director.

At 9:40 AM, a sample of children and staff files were reviewed. Each child's file had the required licensing documentation. Each staff file contained current Mandated Reporter certificates and proof of immunizations. LPA reviewed staff transcripts and the staff was teacher qualified. At least one staff has a current Pediatric CPR and First Aid certification that expires in June 2023. The facility has First Aid equipment available. LPA observed a current children's roster and fire drill log.

Continued 809-C

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2021
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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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: ACTION DAY LEARNING CENTER
FACILITY NUMBER: 343601112
VISIT DATE: 08/12/2021
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Incidental Medical Services (IMS) policy was discussed with the facility representative. For additional IMS information, director was advised to 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.

The facility evaluation report was reviewed and discussed with the Director. Director was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review. No Title 22 deficiencies were cited based on today's inspection.

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC809 (FAS) - (06/04)
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