343622983-6-9-2023-03-CC-KGUA-CSMSPH-20230609140311

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343622983
Report Date: 06/09/2023
Date Signed: 06/09/2023 02:03:14 PM

Document Has Been Signed on 06/09/2023 02:03 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
RIVER CITY (SACTO)CC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE		FACILITY NUMBER:	343622983
ADMINISTRATOR:	KINZ, KIMBERLY		FACILITY TYPE:	850
ADDRESS:	7525 AUBURN BLVD, SUITE 5		TELEPHONE:	(916) 735-5350
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY: 39	TOTAL ENROLLED CHILDREN: 39	CENSUS: 19	DATE:	06/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Tara Taylor		TIME COMPLETED:	02:20 PM

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At 11:40 a.m., Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Tara Taylor, for the purpose of an unannounced, required - 1 year inspection. Upon arrival, LPA observed a census of 12 preschoolers and 7 toddler children supervised by 4 staff. Facility hours of operation are from 7:00 a.m. - 6:00 p.m., Monday thru Friday.

All individuals subject to criminal background review have obtained criminal record clearance. Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A health and safety inspection was conducted in the classrooms, restrooms, food service areas, and outdoor play areas. Licensee requests a room change for the preschool and school age classrooms. An application form was provided during inspection. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, menus, and daily schedule. Cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. Licensee stated there are no poisons on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary, and operating condition. Bins for solid waste have tight fitting lids. The floors appeared clean throughout the facility. The facility provides AM and PM snack. The food preparation space is free of litter and all food was protected against contamination. Drinking water was readily available to children both indoors and outdoors via drinking fountains, filtered water pitchers, and labeled bottles. LPA observed sign in and sign out

Report continues on 809-C.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

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
RIVER CITY (SACTO)CC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SINGLE MOM STRONG - EMPOWERME PRESCHOOL CHILDCARE	FACILITY NUMBER: 343622983
	VISIT DATE: 06/09/2023

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logs with full legal signatures of parents/guardians. There are no firearms nor bodies of water on the premises. LPA observed a carbon monoxide detector. Playground equipment and surfaces are free of loose or sharp parts. Adequate shade is provided by roofing from the covered courtyard. There is foam flooring to provide cushioning beneath the climbing structure. A shared play space waiver on file for all three programs.

Staff files were reviewed. At least one staff member present today has current Pediatric CPR and First Aid certification. LPA observed documentation of the educational background, training, and/or experience and AB 1207 Mandated Reporter training certificates. Immunization records and TB clearance were missing from some files.

Children's records were reviewed. Each child's file contained an emergency card, consent for emergency medical treatment and notifications of children’s and parent’s rights and health history. Physician's report and immunization records were missing from some files.

No children in care require medications. This facility does not provide Incidental Medical Services – IMS. For IMS information 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.

LPA informed Licensee of the recent relocation of the regional office and provided updated parent's and personal right's forms and posting.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

In the areas that were evaluated, no deficiencies were cited during today’s inspection. Exit interview conducted and report was reviewed with Licensee, Tara Taylor. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

LIC809 (FAS) - (06/04)

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