<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624830
Report Date: 11/13/2024
Date Signed: 11/13/2024 03:11:42 PM

Document Has Been Signed on 11/13/2024 03:11 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:BUILDING KIDZ RANCHO CORDOVAFACILITY NUMBER:
343624830
ADMINISTRATOR/
DIRECTOR:		LAW, DANIELLEFACILITY TYPE:
830
ADDRESS:1945 ZINFANDEL DRIVETELEPHONE:
(916) 706-2653
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 0DATE:
11/13/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Mercy IshidaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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
Licensing Program Manager (LPM) Natalie Dunaway and Licensing Program Analyst (LPA) Erwina Pascual-Golamco met with Licensee Representative Mercy Ishida, for the purpose of an informal compliance conference.

LPM defined the difference between non-compliance and informal conference. LPM advised that the purpose of today's meeting is to help the facility gain compliance.

Today's informal conference was to discuss the type A and type B citations issued on the dates indicated below:

11/13/24 – Type A Licensing reports not provided to authorized representatives for previous citations
5/21/24 – Unqualified staff providing care and supervision to children (POC not yet received)
5/21/24 – Disinfecting wipes accessible to children
3/20/24 – Ratios not met

The Licensee Representative stated that they have taken the following steps to maintain compliance:

1. Licensee will do a file review and will determine which parent/s need LIC9224 and will provide the all newly enrolled children for the next 12 months.
2. Licensee will provide a staffing plan to LPA by 4PM November 15, 2024.
3. Licensee will conduct training on supervision/ratio by and will provide LPA verification of training by 4PM December 2, 2024.

continued on LIC809-C...

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BUILDING KIDZ RANCHO CORDOVA
FACILITY NUMBER: 343624830
VISIT DATE: 11/13/2024
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
26
27
28
29
30
31
32
LPA discussed follow up documentation for file. LPA and LPM reviewed personal rights and supervision requirements. LPA discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Director will follow up with request to LPA for TSP services. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

This report was reviewed with the Licensee Representative.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2