CORDOVA MEADOWS ELEMENTARY SCHOOL

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On Thursday January 13th, 2023, Licensing Program Analysts (LPAs) Arianna Manabat and Tiffanie Diep met with Director Jacqueline Wise for an unannounced annual inspection. At 9:15 AM, LPAs toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included 21 preschool children in care with three fully qualified staff. Facility Representative was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday 8:00 AM to 11:00 AM and 11:45AM to 2:45PM. Facility Representative 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. Classrooms all appeared clean including the carpets and floor. Chemicals and cleaning materials were kept inaccessible to children. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. Drinking water was readily available to children both indoors and outdoors via water bottles and refrigerator water. Shade was provided via trees. Bathrooms were clean and all sinks and toilets were in operating condition. The site supervisor stated that there are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. Menus were posted for AM and PM snack. LPAs observed the appropriate postings were visible to parents. LPAs observed a current children's roster and a fire/disaster drill log. The facility is equipped with First Aid equipment. LPAs observed parents are signing their children in and out of the center. Continued on LIC 809-C..... SUPERVISORS NAME: Roxana Saravia LICENSING EVALUATOR NAME: Arianna Manabat LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023 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 FACILITY NAME: CORDOVA MEADOWS ELEMENTARY SCHOOLFACILITY NUMBER: 340318372 VISIT DATE: 01/13/2023 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 32LPAs reviewed staff files and transcripts and observed all staff being utilized as teachers were qualified. LPA observed current Mandated Reporter certificates and proof of immunization for the staff. At least one staff had a current Pediatric CPR and First Aid certification which expires on August 2024. LPAs observed the sample of children’s files contained the appropriate documentation. Incidental Medical Services (IMS) policy was discussed. 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 To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Site Supervisor was encouraged to the visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers. Exit interview was conducted and report was reviewed with the Facility Representative. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Roxana Saravia LICENSING EVALUATOR NAME: Arianna Manabat LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On Thursday January 13th, 2023, Licensing Program Analysts (LPAs) Arianna Manabat and Tiffanie Diep met with Director Jacqueline Wise for an unannounced annual inspection. At 9:15 AM, LPAs toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included 21 preschool children in care with three fully qualified staff. Facility Representative was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday 8:00 AM to 11:00 AM and 11:45AM to 2:45PM. Facility Representative 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. Classrooms all appeared clean including the carpets and floor. Chemicals and cleaning materials were kept inaccessible to children. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. Drinking water was readily available to children both indoors and outdoors via water bottles and refrigerator water. Shade was provided via trees. Bathrooms were clean and all sinks and toilets were in operating condition. The site supervisor stated that there are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. Menus were posted for AM and PM snack. LPAs observed the appropriate postings were visible to parents. LPAs observed a current children's roster and a fire/disaster drill log. The facility is equipped with First Aid equipment. LPAs observed parents are signing their children in and out of the center. Continued on LIC 809-C..... SUPERVISORS NAME: Roxana Saravia LICENSING EVALUATOR NAME: Arianna Manabat LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023 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 FACILITY NAME: CORDOVA MEADOWS ELEMENTARY SCHOOLFACILITY NUMBER: 340318372 VISIT DATE: 01/13/2023 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 32LPAs reviewed staff files and transcripts and observed all staff being utilized as teachers were qualified. LPA observed current Mandated Reporter certificates and proof of immunization for the staff. At least one staff had a current Pediatric CPR and First Aid certification which expires on August 2024. LPAs observed the sample of children’s files contained the appropriate documentation. Incidental Medical Services (IMS) policy was discussed. 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 To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Site Supervisor was encouraged to the visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers. Exit interview was conducted and report was reviewed with the Facility Representative. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Roxana Saravia LICENSING EVALUATOR NAME: Arianna Manabat LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023