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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622428
Report Date: 08/30/2023
Date Signed: 08/30/2023 01:17:14 PM

Document Has Been Signed on 08/30/2023 01:17 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:VILLAGE PRESCHOOL CENTERFACILITY NUMBER:
343622428
ADMINISTRATOR:TOMIKA RAINEARFACILITY TYPE:
850
ADDRESS:6845 LARCHMONT DRIVETELEPHONE:
(916) 566-3485
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 12DATE:
08/30/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Mikako Fisher-HillTIME COMPLETED:
01:30 PM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Tanya Washington met with Site Supervisor, Martina Hernandez and Head Start Director, Mikako Fisher-Hill for the purpose of a case management inspection. Licensee requests a change of capacity to serve 24 children from age 2 years to entry into kindergarten and 8 toddlers age 18-36 months under the Toddler Option Program. The program operates Monday through Friday from 8:00 a.m. to 2:30 p.m. The fire clearance was received and granted on 7/27/2023.

INDOOR ACTIVITY SPACE:
There is one preschool classroom in room #2 and one toddler classroom in room #1. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. AS used current measurements from report dated 9/17/2021, therefore AS did not take measurements. The total classroom space contains a total of 1,447 square feet, which will accommodate Licensee's request for 24 preschool children and 8 toddlers. There are two toilets and three sinks in the preschool classroom and one toilet and two sinks in the toddler classroom. There is a separate private restroom for the staff.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. AS observed a Shared Outdoor Space Waiver on file and separate outdoor schedules posted. AS used current measurements from report dated 9/17/2021, therefore AS did not take measurements. The outdoor play area contains a total of 4,916 square feet, which will accommodate Licensee's request for 24 preschool children and 8 toddlers.

Report continues on LIC809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: VILLAGE PRESCHOOL CENTER
FACILITY NUMBER: 343622428
VISIT DATE: 08/30/2023
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Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Head Start Director, Mikako Fisher-Hill.

The following items are required before the toddler option program and change of capacity will be approved:
1. Director/Site Supervisor packet for Martina Hernandez
2. Toddler Teacher Job Description
3. Updated Emergency Disaster Plan (LIC610)
4. Updated Personnel Report (LIC500)
5. Outdoor Facility Sketch (LIC999)
6. Outdoor rotation schedule/daily schedule
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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