343624830-4-11-2023-03-CC-MLOR-CQSPQD-20230411113058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624830
Report Date: 04/11/2023
Date Signed: 04/11/2023 11:31:08 AM

Document Has Been Signed on 04/11/2023 11:31 AM - 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:	BUILDING KIDZ RANCHO CORDOVA		FACILITY NUMBER:	343624830
ADMINISTRATOR:	ABEA, TANYA		FACILITY TYPE:	830
ADDRESS:	1945 ZINFANDEL DRIVE		TELEPHONE:	(916) 706-2653
CITY:	RANCHO CORDOVA	STATE: CA	ZIP CODE:	95670
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	04/11/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Mercy Ishida		TIME COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Erwina Pascual-Golamco met with Applicant Mercy Ishida for the purpose of an announced pre-licensing inspection. Applicant is requesting an infant license to serve 24 infant children from birth to 24 months. The program will operate Monday through Friday from 7:00 AM to 6:00 PM. The fire clearance was granted on 03/07/2023. The facility is located on a multi-business complex. During this inspection, AS and LPA observed a kava bar venue with an open outdoor seating area next to the infant outdoor playground. There is also a guns and ammos shop three doors down from the infant center. Health and safety was discussed with the Applicant. 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 classrooms. Parents will provide formula, breast milk, and all food for their children. INDOOR ACTIVITY SPACE: There is one infant classroom. The classroom is equipped with a standard refrigerator and a smaller refrigerator, a microwave, sufficient infant size furnishing, bucket seat table that seats 8 children, a buggy that fits four children, individual cubbies, 12 napping cots, and a variety of age-appropriate toys that appear to be in good repair. AS observed 11 cribs in the napping area which is separate from the classroom activity space. Applicant acknowledges there will be a maximum of 11 infants under 12 months old, due to available cribs. Applicant stated she will purchasing an additional crib. AS observed the classrooms to be clean, safe, sanitary and in good repair. (Report continued on subsequent LIC 809)

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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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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: BUILDING KIDZ RANCHO CORDOVA	FACILITY NUMBER: 343624830
	VISIT DATE: 04/11/2023

NARRATIVE

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AS observed containers used for storage of solid wastes, including moveable bins, to have a tightfitting cover that is kept on and in good repair.

There is a first aid kit in the classroom. Medication will be stored in the classroom in a box and inaccessible to children in care. AS 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 Brita water pitcher and cups. AS observed a functional carbon monoxide detector in the classroom. Applicant stated they will be using electronic sign in and sign out system.

AS and LPA measured the classroom. The total classroom space contains a total of 884.35 square feet, which will not accommodate Applicant's requested capacity for 24 infant children. AS did not observed potty chairs in the classrooms. Applicant stated infants will not be potty trained until they reach preschool age. The applicant was reminded that there shall be one potty chair to every five infants being toilet trained. AS observed one changing table with a changing pad that is at least one inch think with raised sides that are at least three inches tall and within arm’s reach of a sink. There is a staff restroom located in the classroom. Children who become ill during the day will be isolated in the preschool building in lobby area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is an infant outdoor activity space that is separate from the preschool outdoor activity space. The outdoor play area is surrounded by a wrought iron fence that is at least four feet tall. AS and LPA observed a variety of age-appropriate outdoor toys and equipment. AS and LPA did not observe a play structure. The playground is shaded by overhangs.

AS and LPA measured the outdoor activity space. The outdoor play area contains a total of 810.78 square feet, which will not accommodate the applicant's requested capacity of 24 infants. The outdoor space can accommodate a maximum of 10 infants. Applicant stated she will submit an insufficient outdoor waiver with a rotating schedule.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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: BUILDING KIDZ RANCHO CORDOVA	FACILITY NUMBER: 343624830
	VISIT DATE: 04/11/2023

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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.

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.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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: BUILDING KIDZ RANCHO CORDOVA	FACILITY NUMBER: 343624830
	VISIT DATE: 04/11/2023

NARRATIVE

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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. Revised LIC 401 to include the total requested capacity

2. Copy of CPR/First Aid certificate for the director
3. Lease agreement with commencement date
4. Insufficient outdoor waiver with a rotating schedule with a maximum of 10 infants
5. Revised fire clearance for the appropriate capacity
6. Revised LIC 200A with the correct capacity

Exit interview conducted and report was reviewed with the Applicant, Mercy Ishida.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Mai Lor
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC809 (FAS) - (06/04)

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