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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623950
Report Date: 12/13/2022
Date Signed: 12/13/2022 02:23:55 PM

Document Has Been Signed on 12/13/2022 02:23 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:TOTS OF LOVE - CITRUS HEIGHTSFACILITY NUMBER:
343623950
ADMINISTRATOR:COURTNEY WILLIAMSFACILITY TYPE:
830
ADDRESS:7312 ANTELOPE RDTELEPHONE:
(916) 560-9699
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 3DATE:
12/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Janet WongTIME COMPLETED:
02:45 PM
NARRATIVE
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On December 13, 2022 at 8:30 am Licensing Program Analysts (LPAs) Lea Habtom and Matthew Gallo met with designated staff Janet Wong to open a complaint. At the time of arrival, LPAs observed one staff with 1 infant in the caterpillars room and 5 preschool children with a staff and an aide in the butterflies room. The barrier used to separate the two children, infants and preschool, is less than 4 feet tall as stated in regulation. Designated staff, Janet Wong, stated the caterpillars and butterflies classroom are used between the two age groups, infant and preschool, from 6:30 am- 7:30 am but due to short staffing today the preschool children were in the butterfly classroom longer. LPA L. Habtom notified designated representative that the barrier height needs to be addressed and corrected if the space would be used for infants and preschool.

Title 22 deficiency was cited during today's inspection on 809-D. Notice of site visit was provided to be posted for 30 days and appeal rights were given.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2022
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 12/13/2022 02:23 PM - It Cannot Be Edited


Created By: Lea Habtom On 12/13/2022 at 12:27 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TOTS OF LOVE - CITRUS HEIGHTS
FACILITY NUMBER: 343623950

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2022
Section Cited
CCR
101438.3(b)(1)(2)

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Indoor activity space 101438.3(b)(1)(2): (b) Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. (1)The center may use moveable walls or partitions to separate the above groups in the same room
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Designated staff, Janet Wong, stated infants and preschool children would be kept in separate classrooms with separate staffing.
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(2) Moveable walls or partitions, if used, shall be at least four feet high; This requirement was not met as evidenced by infants & preschool children in the butterflies & caterpillar room with a divider that is not 4 feet high all across which posses a potential risk to the health & safety of 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:Keven Peters
LICENSING EVALUATOR NAME:Lea Habtom
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2022


LIC809 (FAS) - (06/04)
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