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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623950
Report Date: 05/16/2023
Date Signed: 05/16/2023 02:01:47 PM

Document Has Been Signed on 05/16/2023 02:01 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
RIVER CITY (SACTO)CC, 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: 5DATE:
05/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Courtney WilliamsTIME COMPLETED:
02:30 PM
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On May 16, 2023 around 8:35 AM Licensing Program Analysts (LPA) Michelle Pascual arrived around 8:30 AM for an annual/required inspection and met with Administrator Courtney Williams.

The facility file was reviewed prior to this inspection. A review of the personnel report indicates that Teacher Aide Chantel Ellis was not associated to the facility. A review of clearances indicated the process was not completed. All other staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The facility’s operating hours are 9am to 4pm (for just infant program). The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. There are no pools or similar bodies of water. Poisons are locked within the janitorial office within the school and other cleaning solutions are kept away from children. Furniture and equipment are in good condition, free of hazards, and age appropriate.

Toilets and sinks are in sanitary condition and operating properly. The facility floors were clean and safe. The kitchen/food preparation area is clean, and free of litter or rodents. Food is properly stored and free of contamination. Trash cans have tight fitting lids. Drinking water is available indoor via children's individual water bottles. Outdoor water is made available by a water jug and cups that are brought outside.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: TOTS OF LOVE - CITRUS HEIGHTS
FACILITY NUMBER: 343623950
VISIT DATE: 05/16/2023
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The facility was free of flies, insects and rodents. The facility has a working carbon monoxide detector. During today's inspection, staffing ratios were being met and there were 5 infants being supervised by one (1) Fully Qualified teacher and 1 aide. Infants are not left without visual supervision at any time. The facility was operating within the licensed capacity. At least one staff member present during the visit possessed current CPR and First Aid certifications (Exp: 11/2025). The sign in/out sheet was reviewed via the Procare electronic application, and representatives are using electronic signatures and recording the time. Staff are provided on-the-job training, including sanitation and universal precautions. Infants with symptoms of illness are not accepted, and children who become ill during the day are isolated in kitchen area or up front where they can be separated from other children. A weekly menu was posted at the parents board.

The facility has a crib and/or mat/cot for each napping infant. Cribs are free of loose objects. Infants are visually supervised at all times while sleeping. 15- minute checks are done on the Procare Electronic App. Infants under 12 months are placed on their backs for sleep, and no infants are swaddled. Children records were reviewed and contained emergency identification forms, medical assessments, and a few needs and Services Plans were incomplete or missing. Infants up to 12 months have an Infant Sleeping Plan on file. A few staff records were reviewed around 10:00 AM, and contained proof of qualifications. All licensing reports are public information and must be made available upon request for at least three years.

Review 809-D for the following type A citation. Appeal rights were provided and the notice of site visit was provided.

Facility must post report for 30-days and provide the LIC 9224, for parents to sign and acknowledge the type A citation. This form must be filled out by current parents as well as incoming parents for 12-months following the date of this report. The signed LIC 9224 must be placed in each infant file.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/16/2023 02:01 PM - It Cannot Be Edited


Created By: Michelle Pascual On 05/16/2023 at 12:16 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: 05/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on review of clearances, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/17/2023
Plan of Correction
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Director has begun to resubmit the paperwork for completion. Teacher will follow up with fingerprinting and return to facility once it has been completed.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Michelle Pascual
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2023


LIC809 (FAS) - (06/04)
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