394500429-6-28-2021-53-CC-ASIS-C4ERMW-20210628130924

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 394500429
Report Date: 06/24/2021
Date Signed: 06/28/2021 01:10:26 PM

Document Has Been Signed on 06/28/2021 01:10 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 AMORE		FACILITY NUMBER:	394500429
ADMINISTRATOR:	AIDA LOMELI		FACILITY TYPE:	830
ADDRESS:	170 FRENCH CAMP RD		TELEPHONE:	(209) 898-2958
CITY:	FRENCH CAMP	STATE: CA	ZIP CODE:	95231
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/24/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Aida Lomeli		TIME COMPLETED:	02:00 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 met with Licensee, Aida Lomeli for the purpose of an announced pre-licensing inspection. Licensee requests an infant license to serve 8 infant children from birth to two years of age. The program will operate Monday through Sunday from 6:00 a.m. to 5:00 a.m. The fire clearance was received and granted on 6/24/2021. Licensee 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 provided Licensee with Safe Sleep in Child Care. AS has not received the facility's Infant Needs and Services Plan. Licensee stated she will send AS the plan as soon as possible. The facility will be providing morning and afternoon snacks. Parents will provide formula, breast milk, and baby food for their children. INDOOR ACTIVITY SPACE: There is one infant classroom. AS observed the classroom is not set up with equipment and toys. Licensee stated she will be bringing in items from storage to meet the sufficient amount of age appropriate toys for the infants. AS observed one crib and four nap mats. Licensee stated she will be bringing in three more cribs from storage. Licensee acknowledges there will be a maximum of four infants under 12 months old, due to available cribs. AS did not observe a designated napping area. AS informed Licensee that the napping area must be separate from the indoor activity space. Licensee stated she will install a four feet tall wall partition in order to create the napping area. Report continues on 809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

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: 394500429
	VISIT DATE: 06/24/2021

NARRATIVE

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There is a first aid wall box located in the office. Medications will be stored in the office. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Licensee stated there are no poisons or firearms on the premises. AS observed a water cooler and cups in the kitchen. AS observed a functional dual smoke and carbon monoxide detector in the preschool classroom. AS observed sign-in/sign-out binders.

AS measured one classroom. The classroom space contains a total of 231.66 square feet, which will only accommodate 6 infant children. AS observed one sink located in the classroom's restroom and no diaper changing table. Licensee stated the changing table is in storage and she will be bringing it to the classroom. AS informed Licensee that the sink located in the restroom cannot be counted since the sink must be within arms reach of the diaper changing table. Licensee understood and stated she will provide a portable sink to place next to the diaper changing table. 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 infant outdoor area on the property. The outdoor area is shared with the preschool and school-age children. Applicant will request a Shared Playground Waiver and provide separate classroom outdoor schedules showing no commingling between the age groups. The outdoor play area is fenced with a chain link and wrought iron 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 6 infant children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Report continues on 809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

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: 394500429
	VISIT DATE: 06/24/2021

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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.

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 Licensee 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 discussed and emailed to Licensee. Licensee 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. Remaining documents listed on LIC184.
2. Napping and diaper changing area.
3. Second Pre-Licensing Inspection needed for updated classroom measurements.
4. Final file review from Regional Manager (RM) Sharon Ogbodo.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

LIC809 (FAS) - (06/04)

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