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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624222
Report Date: 09/13/2022
Date Signed: 09/13/2022 02:04:45 PM

Document Has Been Signed on 09/13/2022 02:04 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:KIDS INC PRESCHOOL AND DISCOVERY CENTERFACILITY NUMBER:
343624222
ADMINISTRATOR:OGAS, MEGANFACILITY TYPE:
850
ADDRESS:405 NATOMA STATION DRIVETELEPHONE:
(916) 353-0300
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 93TOTAL ENROLLED CHILDREN: 93CENSUS: 48DATE:
09/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Megan OgasTIME COMPLETED:
02:30 PM
NARRATIVE
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On Tuesday, September 13th, 2022, Licensing Program Analyst (LPA) Kelly Ferrara conducted a Case Management Inspection and met with Director Megan Ogas. Today's census included 48 preschool children in care with six staff during nap time.

LPA Ferrara received an Unusual Incident Report from the facility regarding a self-reported incident that occurred on June 24th, 2022. During today's inspection to follow up on the incident, LPA discussed the incident with the Director. LPA learned that a child was given milk by a staff member which is not in the child’s typical diet. Director stated the staff was trained immediately on referencing the food allergy list.

Based on the information received, a Title 22 violation has occurred. See page 809-D for deficiency cited. Exit interview was conducted and a copy of this report was given to the Director. Notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
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 09/13/2022 02:04 PM - It Cannot Be Edited


Created By: Kelly Ferrara On 09/13/2022 at 11:59 AM
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: KIDS INC PRESCHOOL AND DISCOVERY CENTER
FACILITY NUMBER: 343624222

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2022
Section Cited
CCR
101227(a)(1)

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Food Services (a) In child care centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. This requirement was not met as evidenced by:
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Staff training was conducted immediately following the incident in order to prevent this type of situation in the future. LPA reviewed memo that staff received. LPA requested that the memo was signed by each staff and submitted to LPA via email by POC due date.
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An Unusual Incident Report received from the facility stated that a child who was not supposed to ingest milk was given milk by a staff member. This is a potential health and safety risk to 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:Natalie Dunaway
LICENSING EVALUATOR NAME:Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2022


LIC809 (FAS) - (06/04)
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