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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621719
Report Date: 12/19/2024
Date Signed: 12/19/2024 04:02:42 PM

Document Has Been Signed on 12/19/2024 04:02 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:VINELAND PRESCHOOLFACILITY NUMBER:
343621719
ADMINISTRATOR/
DIRECTOR:		NICOLE SCHLIEFACILITY TYPE:
850
ADDRESS:6450 20TH STREETTELEPHONE:
(916) 566-1616
CITY:RIO LINDASTATE: CAZIP CODE:
95673
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 7DATE:
12/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Jeannie Gardner & Reem ZaidanTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On December 19, 2024, Licensing Program Analyst (LPA) Lea Habtom arrived at Vineland Preschool to conduct an unannounced case management inspection. LPA met with Jeannie Gardner, ECE coordinator, and Reem Zaidan, Site Supervisor. Upon arrival, LPA observed 6 napping children and 1 awake being supervised by 6 staff.

The purpose of today's inspection is to address the unusual incident that was self reported on December 18, 2024. LPA learned through staff interview, that 2 children ran out of the classroom and into the kitchen that is connected between the two licensed classrooms. A child in the classroom then quickly notified the teacher of the children hiding in the kitchen who then retrieved the children to come back into the classrooms.

Based on interviews, the facility was cited a Type A deficiency for lack of supervision due to the staff member following the children and the children being in the licensed facility.

This report was reviewed with Jeanie Gardner & Reem Zaidan. A notice of site visit was provided to be posted for 30 days.

LPA Lea Habtom informed licensee Jeannie Gardner that this report dated December 19, 2024, documents 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Jeannie Gardner to provide a copy of this licensing report dated December 19, 2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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 12/19/2024 04:02 PM - It Cannot Be Edited


Created By: Lea Habtom On 12/19/2024 at 03:42 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: VINELAND PRESCHOOL
FACILITY NUMBER: 343621719

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1): Responbility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time
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Nicole, ECE coordinator, came to Vineland and discussed with staff to keep the kitchen doors closed in both classrooms. The deficiency was cleared during today's inspection.
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This requirement was not met as evidenced by: 2 children running out of the classroom and hiding in the kitchen with no staff supervision which is an immediate health and safety risk to the children in care.
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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:Mai Lor
LICENSING EVALUATOR NAME:Lea Habtom
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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