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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622005
Report Date: 01/19/2023
Date Signed: 01/19/2023 12:01:10 PM

Document Has Been Signed on 01/19/2023 12:01 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:APPLE A DAY PRESCHOOL & INFANTS CTR (INF)FACILITY NUMBER:
343622005
ADMINISTRATOR:FARFAN, LILIYAFACILITY TYPE:
830
ADDRESS:5013 EL CAMINO AVENUETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 0DATE:
01/19/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Michelle IngramTIME COMPLETED:
12:00 PM
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Licensing Program Manager (LPM) Seychelle De Luca, Licensing Program Analysts (LPAs) Karyn Guerra and Josiah Gathing, met with Acting Director, Michelle Ingram, for the purpose of an informal office visit.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance.

Today's informal meeting was to discuss the Type A and B citations issued from 7/12/2022-11/02/2022 during Complaint, Required – 1 Year, and Case Management Inspections.

On 7/12/2022 the facility was cited a type A citation regarding Qualifications.
On 10/19/2022 the facility was cited a type B citation regarding Safe Sleep.
On 10/19/2022 the facility was cited a type A citation regarding Safe Sleep.
On 10/19/2022 the facility was cited a type B citation regarding Furniture and Equipment.
On 10/19/2022 the facility was cited a type B citation regarding Furniture and Equipment.
On 10/19/2022 the facility was cited a type B citation regarding Safe Sleep.
On 10/19/2022 the facility was cited a type B citation regarding Physical Plant.
On 10/19/2022 the facility was cited a type B citation regarding Physical Plant.
On 10/19/2022 the facility was cited a type B citation regarding Physical Plant.
On 10/19/2022 the facility was cited a type B citation regarding Furniture and Equipment.
On 11/2/2022 the facility was cited a type A citation regarding Criminal Record Clearance.
On 11/2/2022 the facility was cited a type B citation regarding Sanitation.

report continued on 809-C.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
VISIT DATE: 01/19/2023
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The Acting Director stated that they have taken the following steps to maintain compliance:

1. Changing table cover has been removed to allow for sanitation of vinyl material.
2. Bleach bottles are mixed daily.
3. 15 minute checks are being conducted and documented of napping infants.
4. Infant room will be painted.
5. Floors have been cleaned, a carpet cleaner has been purchased.
6. Walls have been set up to divide napping space from activity space.

LPA Guerra discussed Director and Licensee Representative Qualifications. LPA discussed follow up documentation for file. LPA and LPM reviewed qualifications, physical plant, and safe sleep requirements. LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Licensee will follow up with request to LPA for TSP services. LPA Guerra discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPA Guerra suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

This report was reviewed with the Acting Director. Acting Director stated they will share the reports with the Licensee.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC809 (FAS) - (06/04)
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