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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624777
Report Date: 04/25/2023
Date Signed: 04/25/2023 02:48:13 PM

Document Has Been Signed on 04/25/2023 02:48 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:AMERICAN LEGION CHILDREN CENTERFACILITY NUMBER:
343624777
ADMINISTRATOR:ESTACIO, NOELFACILITY TYPE:
830
ADDRESS:3801 BROADWAYTELEPHONE:
(916) 643-9413
CITY:SACRAMENTOSTATE: CAZIP CODE:
95817
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 0DATE:
04/25/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Noel EstacioTIME COMPLETED:
03:00 PM
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Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Jennifer Velasco met with Applicant Noel Estacio for the purpose of an announced pre-licensing inspection. Applicant is requesting an infant license serve 8 infant children from birth to 24 months and 8 toddler children in the Toddler Option Program. Total requesting capacity is 16 infant children. The program will operate Monday through Friday from 8:00 AM to 3:30 PM. The infant center is located on American Legion High School campus in classrooms #121 and #123. The fire clearance was granted on 03/16/2023. The program will follow he Sacramento City Unified School district schedule.

AS 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, menus, and daily schedule.

Applicant stated the Needs and Services plans will be kept in the office. The facility will provide formula, morning and afternoon snacks, and lunch.

INDOOR ACTIVITY SPACE:
There are two infant classrooms, which one of them is designated for the toddler option children There are two additional classrooms located in the toddler option classroom (middle classroom located in the far back of the toddler option classroom and first classroom to the right of the toddler option classroom) that the Applicant would like to utilize but will not part of the total capacity square footage.There is a kitchen to support food preparation and a laundry area. The classrooms are equipped with sufficient infant size furnishing, cubbies and a variety of age-appropriate toys that appear to be in good repair.
(Report continued on subsequent LIC 809)
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: AMERICAN LEGION CHILDREN CENTER
FACILITY NUMBER: 343624777
VISIT DATE: 04/25/2023
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AS observed seven cribs in the napping room. Applicant stated they will be purchasing an additional crib. Applicant acknowledges there will be a maximum of seven infants under 12 months old, due to available cribs. The infant napping area is physically separate from the classroom activity space. Applicant stated the facility will be providing sheets and parents are to provide the blankets.

Applicant stated the facility will wash the sheets; however, parents have the option to wash their child’s sheet. AS observed the classroom to be clean, safe, sanitary and in good repair. AS observed containers used for storage of solid wastes, including moveable bins, to have a tight-fitting cover that is kept on and in good repair.

There is a first aid kit in the infant classroom and in the kitchen. Medication will be stored in the kitchen and inaccessible to children in care. AS and LPA observed cleaning disinfectants appropriately stored and inaccessible to children. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided via tap water in pitchers and cups. AS and LPA did not observe a carbon monoxide detector in the facility. Applicant stated they will be using paper sign in and sign out system.

AS and LPA measured the two classrooms. The total classroom space contains a total of 1,127.85 square feet, which will accommodate Applicant's requested capacity for eight infant children and eight toddler children in the Toddler Option Program. There are two toilets and two sinks in the infant classroom. There is a single bathroom with a toilet and sink in Toddler Option classroom. Staff will utilize the high school staff’s restroom. AS and LPA observed a counter changing pad that is at least one inch thick but did not observe a changing table with raised sides that are at least three inches tall. There is also a changing table in the toddler option classroom that is at least one inch thick with raised sides that are at least three inches tall. There is a sink within arm’s reach of the changing area. Children who become ill during the day will be isolated in the extra room located in the toddler option classroom and will use the single restroom, if necessary.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: AMERICAN LEGION CHILDREN CENTER
FACILITY NUMBER: 343624777
VISIT DATE: 04/25/2023
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OUTDOOR ACTIVITY SPACE:
There is an enclosed outdoor activity space for infant children. Applicant stated the toddler option children will be utilizing the infant outdoor activity space and will submit a waiver to share the infant playground on a rotating schedule. The applicant was reminded to use age-appropriate equipment and toys. The outdoor play area is surrounded by a fence that is at least four feet tall. The outdoor space has adequate shade provided by trees and overhangs.

AS and LPA measured the outdoor space. The outdoor space contained a total of 2,176.78 square feet, which will accommodate the Applicant’s requested capacity. AS observed portable climbing structures anchored to the ground. However, AS observed a crack in one of the portable climbing structures. AS also observed the portable climbing structures to be covered in dirt, dust and spider web. The Applicant stated staff will do a thorough cleaning prior to opening.

AS 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. AS 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.



LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: AMERICAN LEGION CHILDREN CENTER
FACILITY NUMBER: 343624777
VISIT DATE: 04/25/2023
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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 at https://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. Shared outdoor space waiver with a rotating schedule


2. Revised LIC 200A
3. CPR/First Aid certificate for the director
4. Revised parent handbook
5. Admission agreement
6. Clean outdoor play equipment and play yard
7. Fix cracked stepping area of portable climbing structure
8. Carbon monoxide detector
9. Changing table for the infant classroom
10. Licensing Program Manager Natalie Dunaway’s final review

Exit interview conducted and report was reviewed with the Applicant, Noel Estacio.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
LIC809 (FAS) - (06/04)
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