343624369-8-19-2022-03-CC-KFEA-CHFQEG-20220819120616

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624369
Report Date: 08/19/2022
Date Signed: 08/19/2022 12:06:25 PM

Document Has Been Signed on 08/19/2022 12:06 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:	PLAYTIME ACADEMY PS		FACILITY NUMBER:	343624369
ADMINISTRATOR:	COVEY, MEGAN		FACILITY TYPE:	850
ADDRESS:	5500 MAIN AVENUE		TELEPHONE:	(916) 370-5779
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 0	DATE:	08/19/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Megan Covey		TIME COMPLETED:	12:15 PM

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Licensing Program Analyst (LPA) Kelly Ferrara met with Applicant Megan Covey for the purpose of an announced pre-licensing inspection. Applicant request a preschool license to serve 24 preschool children from age two to five and 6 toddlers ages 18-36 months under the toddler option program. Total requested capacity is 30 children. The program will operate Monday through Friday from 7:30 AM to 5:30 PM. The fire clearance was granted on July 6th 2022.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, and daily schedule. Applicant stated the parents will provide snack and lunches for the children, however the facility has back up snack and lunch items.

INDOOR ACTIVITY SPACE:

There are four classrooms: Classroom #1 (ages 3-4), classroom #2 (age 3), classroom #3 (ages 2-3), and classroom #4 (Toddler Option). LPA observed sufficient amount of age-appropriate equipment, toys, tables, and cubbies. There is a first aid kit in the kitchen and an area to store medications. Applicant stated there are no firearms or weapon on the premises and LPA did not observe any bodies of water. Applicant stated indoor and outdoor drinking water will be available by using individual water bottles that the children bring and will be refilled by bottled water. Applicant stated water will not be used to prepare food. LPA observed a functioning smoke and carbon monoxide detector. LPA observed a binder where children will be signed in and out of the facility.

Continued on 809-C

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: PLAYTIME ACADEMY PS	FACILITY NUMBER: 343624369
	VISIT DATE: 08/19/2022

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LPA used previous measurements taken on November 19th, 2009 from the former facility. There was one room measured for the preschool toddler option program. The room contains a total of 330 square feet which will accommodate the applicant's request for 6 toddlers. Three rooms were also measured for the preschoolers. The rooms contain a total of 892 square feet which will accommodate the applicant's request for 24 preschoolers. There are a total of three toilets and three sinks available for children to use in the facility. Applicant has a diaper changing pad and potty training toilet for the toddler option children. There is a separate private restroom for the staff. Children who become ill during the day will be isolated in the kitchen area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is an outdoor activity space for preschool and a separate space for Toddler Option children. Each outdoor play area is surrounded by a fence that is at least four feet tall. The preschool playground has a play structure that is anchored to the ground with enough bark to absorb a fall. LPA observed sufficient amount of age appropriate equipment and toys. LPA observed the preschool play structure is meant for children age three and above, and therefore applicant was advised the two year olds cannot use it. There are shaded areas supplied by trees and overhangs. Applicant stated she is purchasing additional sun sails for the Toddler Option play area. LPA used outdoor measurements taken on November 19th, 2009. The preschool playground contained a total of 3962 square feet, sufficient outdoor activity space to support the requested preschool capacity. The toddler yard contained 1031 square feet, which will support the requested Toddler capacity.

LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: PLAYTIME ACADEMY PS	FACILITY NUMBER: 343624369
	VISIT DATE: 08/19/2022

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Applicant 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.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items are required before a license will be issued:

1. Ordering additional mats for nap time.
2. Licensing Program Manager’s final review.

Exit interview was conducted and report was reviewed with Applicant Megan Covey.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

LIC809 (FAS) - (06/04)

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