344500849-5-15-2023-53-CC-ASIS-CRUPLR-20230515112510

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 344500849
Report Date: 05/15/2023
Date Signed: 05/15/2023 01:19:17 PM

Document Has Been Signed on 05/15/2023 01:19 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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	MOORE LEARNING PRESCHOOL & CHILDCARE CTR SHELDON		FACILITY NUMBER:	344500849
ADMINISTRATOR:	MOORE, FRISHA		FACILITY TYPE:	850
ADDRESS:	10393 PLEASANT GROVE SCHOOL RD		TELEPHONE:	(530) 305-5865
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 100	CENSUS: 43	DATE:	05/15/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Frisha Moore		TIME COMPLETED:	12:30 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	Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Jennie Tedlos met with Applicant/Director Frisha Moore for the purpose of an announced pre-licensing change of ownership inspection. Applicant requests a preschool license to serve 100 preschool children from age two to entry into kindergarten. The program plans to operate Monday through Friday from 7:00 a.m. to 6:00 p.m. The facility will provide morning snack, lunch, and afternoon snacks. 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. INDOOR ACTIVITY SPACE: There are five preschool rooms. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. There is a first aid kit in each of the classrooms. Medications will be stored in the kitchen in a locked box. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS observed two water fountains in one classroom and the hallway. AS observed a functional carbon monoxide detector in the classroom. Applicant stated they will be providing electronic sign-in/sign-out system. AS measured five rooms. The total classroom space contains a total of 3,575 square feet, which will accommodate applicant's request for 100 preschool children. There are 7 toilets and 9 sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary. Report continues on 809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MOORE LEARNING PRESCHOOL & CHILDCARE CTR SHELDON	FACILITY NUMBER: 344500849
	VISIT DATE: 05/15/2023

NARRATIVE

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OUTDOOR ACTIVITY SPACE:
There is two outdoor areas on the property, preschool yard and school-age yard. The outdoor play area is fenced with a chain link fence that is at least four feet tall. Applicant has requested a Shared Outdoor Space Waiver. AS observed a sufficient amount of equipment and toys. There is a pool on the premises. AS observed a functioning self-latching gate and is fully surrounded by a chain link fence. Applicant stated that the pool will not be in use. Applicant understands that a pool safety plan must be provided to the department prior to utilizing the pool. There are shaded areas supplied by trees and overhangs.

AS measured the outdoor activity space. The outdoor play area contains a total of 12,499 square feet, which will accommodate applicant's request for 100 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

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

AS discussed the following: 100% supervision is required at all times, including in the bathroom; 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.

Report continues on 809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MOORE LEARNING PRESCHOOL & CHILDCARE CTR SHELDON	FACILITY NUMBER: 344500849
	VISIT DATE: 05/15/2023

NARRATIVE

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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

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.

Exit interview conducted and report was reviewed with the Applicant/Director Frisha Moore.

The following items are required before a license will be issued:
1. Granted fire clearance (STD850)
2. Final Control of Property

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

LIC809 (FAS) - (06/04)

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