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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500321
Report Date: 04/14/2021
Date Signed: 04/14/2021 12:31:37 PM

Document Has Been Signed on 04/14/2021 12:31 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:ACADEMY OF CHILD DEVELOPMENT AND AMOREFACILITY NUMBER:
394500321
ADMINISTRATOR:AIDA LOMELI/KATHERYNE DOUGFACILITY TYPE:
840
ADDRESS:170 E. FRENCH CAMPTELEPHONE:
(209) 898-2958
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 10TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/14/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Aida Lomeli & Katheryne DouglassTIME COMPLETED:
12:00 PM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Christopher Jackson met with Applicant, Aida Lomeli and Teacher, Katheryne Douglass for the purpose of an announced pre-licensing inspection via FaceTime due to COVID-19. Applicant requests a school-age license to serve 10 school-age children from kindergarten and above. The program will operate Monday through Friday from 6:00 a.m. to 6:00 p.m. The fire clearance was granted and received on 3/22/2021.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat poster, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. AS provided LIC311A, Effects of Lead Exposure brochure, and Healthy Schools Act survey. The facility will be providing morning and afternoon snack during the school year and during holidays and summer.

INDOOR ACTIVITY SPACE:
There is one school-age classroom. The classroom is divided by the preschool classroom using a partition wall that is at least four feet tall. AS observed a sufficient amount of equipment, tables, chairs, and hooks. There is a first aid wall box located in the office and classroom. Medications will be stored in the staff room. AS observed cleaning disinfectants are appropriately stored and inaccessible to children located in the kitchen. Applicant stated there are no poisons or firearms on the premises. AS observed a water cooler and cups in the classroom. AS observed a functional dual smoke and carbon monoxide detector in the classroom. AS observed sign-in/sign-out binders.

Report continues on 809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2021
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: ACADEMY OF CHILD DEVELOPMENT AND AMORE
FACILITY NUMBER: 394500321
VISIT DATE: 04/14/2021
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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.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

The following items are required before a license will be issued:
1. Updated documents.
2. 2nd Inspection needed for partition adjustments.
3. Final file review from Regional Manager (RM) Sharon Ogbodo.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
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: ACADEMY OF CHILD DEVELOPMENT AND AMORE
FACILITY NUMBER: 394500321
VISIT DATE: 04/14/2021
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AS measured one classroom. The total classroom space contains a total of 240 square feet, which will not accommodate Applicant's request for 10 school-age children. The square footage will only accommodate 6 school-age children. Applicant stated she will move the partition over to provide more room. AS informed the Applicant that once the partition has been adjusted another inspection will be needed to approve Applicant's request for 10 school-age children. Applicant understood. There is one bathroom with 2 toilets and 2 sinks for the children. Applicant will separate genders when using the restroom. There is 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.

OUTDOOR ACTIVITY SPACE:
There is one school-age outdoor area on the property. The outdoor area is shared with the preschool children. Applicant has requested a Shared Playground Waiver and has provided AS with separate classroom outdoor times showing no commingling between the age groups. The outdoor play area is fenced with a chain link fence that is at least four feet tall. There is no play structure. AS observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by a canopy.

AS measured the outdoor activity space. The outdoor play area contains a total of 2,879 square feet, which will accommodate Applicant's request for 10 school-age children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Incidental Medical Services and a Plan of Operation is located in the facility file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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.

Report continues on 809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC809 (FAS) - (06/04)
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