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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624258
Report Date: 08/11/2023
Date Signed: 08/11/2023 04:14:54 PM

Document Has Been Signed on 08/11/2023 04:14 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:ALL KIDS EARLY LEARNING CENTERFACILITY NUMBER:
343624258
ADMINISTRATOR:BREEDING, KATHLEENFACILITY TYPE:
850
ADDRESS:2052 WEST LA LOMA DRIVETELEPHONE:
(916) 333-7531
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: DATE:
08/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Emily BellTIME COMPLETED:
03:00 PM
NARRATIVE
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On August 11, 2023, Licensing Program Analyst (LPA) Erwina Pascual-Golamco, met with Director Emily Bell (D1), for a case management inspection regarding an incident that happened on 8/9/23. Census included 42 preschool children supervised by 7 staff. Purpose of the inspection was explained.

Director filled out a written Unusual Incident Report (LIC624), at time of LPA visit. On 8/9/23, a child wandered off the facility and LPA asked D1 why it was not reported to the department the next working day, in addition to the written LIC624, and D1 stated they informed facility representative about incident and that facility representative was going to take care of the reporting. D1 stated facility representative was not aware of the next working day requirement and only know about the 7 day written requirement. D1 also stated she should have reported it herself to make sure. D1 was not aware that it was not reported to the department until LPA informed D1 today. During today's inspection, LPA observed the play yard and interviewed D1. D1 stated that moving forward, they will comply with reporting requirements. D1 handed the LIC624 to LPA today. Deficiency cleared at time of visit.

Title 22 Deficiency has been cited for reporting requirements. Exit interview was conducted, appeal rights were provided, and A notice of site visit was given to D1, who will post it where visible to parents/guardians for 30 days.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2023
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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Document Has Been Signed on 08/11/2023 04:14 PM - It Cannot Be Edited


Created By: Erwina Pascual-Golamco On 08/11/2023 at 01:44 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ALL KIDS EARLY LEARNING CENTER
FACILITY NUMBER: 343624258

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2023
Section Cited
CCR
101212(d)(1)(C)

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101212 Reporting Requirements (d)...any of the events specified in (d)(1) below, a report shall be made to the dept. by telephone or fax within the dept...next working day...In addition, a written report...submitted...to the dept...within seven days...(C)Any unusual incident ...that threatens...or safety of any child.
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LPA reminded D1 of the reporting requirements, and provided a copy of the manual. D1 will email LPA attestation statement that they understand the requirement and will comply moving forward by 4PM of POC due date.
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This requirement is not met as evidenced by:based on interview, and record review, D1 did not comply with the section cited above as incident on 8/9/23 was not reported to the dept. the next working day, which poses a potential health, safety, or personal rights risk to persons 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:Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2023


LIC809 (FAS) - (06/04)
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