270710406-11-30-2022-07-CC-ELAS-CLNSRV-20221130130659

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 270710406
Report Date: 11/30/2022
Date Signed: 11/30/2022 01:07:03 PM

Document Has Been Signed on 11/30/2022 01:07 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	SHERWOOD STATE / MIGRANT PRESCHOOL CHILD CARE		FACILITY NUMBER:	270710406
ADMINISTRATOR:	GONZALEZ, ERNESTO		FACILITY TYPE:	850
ADDRESS:	110 SOUTH WOOD STREET		TELEPHONE:	(831) 784-5402
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	44	CENSUS: 14	DATE:	11/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Claudia Cardenas & Lorena Cardenas		TIME COMPLETED:	01:00 PM

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Licensing Program Analyst (LPA) Elizabeth Larios conducted a unannounced Required-1 year inspection. LPA met with Teacher Claudia Cardenas & Lorena Cardenas and explained the nature of today's visit. Teacher Claudia called Denise Noel Preschool Program Coordinator to inform her of inspection. LPA toured the facility both inside and outside during todays visit. LPA noted that the facility is located on the Sherwood Elementary School campus, in classrooms K1 and K2. The hours of operation are Monday - Friday, 8:00am - 11:00am. Per Denise Noel Preschool Program Coordinator & Crystal Burgos Preschool Coach Classroom K2 needs to be rearrange and children enrollment. The program is run by the Salinas City Elementary School District. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule.

LPA reviewed five children's and two staff files during today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents rights. The Lead Teacher file contain the required transcripts/verification of experience. All staff have clearances through Salinas City Elementary School District. Lead Teacher has current CPR and First Aid certifications on file. Staff have Health Screening Report and TB test, Immunization (Measles, Pertussis, and Flu) record and required Training. Staff had current Mandated Reporter Training certificate in file. Lead Teacher understands that there shall be at least one person with valid CPR and First Aid certifications on site at all times, or present during off-site activities.

Lead Teacher understands the conditions, limitations, and capacity specifications of the facility license. Lead Teacher understands that children shall be visually supervised at all times. LPA observed classroom clean and in order. Drinking water is readily available for the children in classroom and in the outdoor playground area via water fountain indoor and outdoor. LPA observed solid waste containers with tight-fitting lids in classroom. Children's bathrooms are clean, and sanitary. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Lead Teacher states that there are no weapons or firearms on the premises. CONTINUE ON LIC 809-C

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SHERWOOD STATE / MIGRANT PRESCHOOL CHILD CARE	FACILITY NUMBER: 270710406
	VISIT DATE: 11/30/2022

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The Facility has an active waiver for the purpose of sharing the outdoor playground space. Usage of the Sherwood State/ Migrant Preschool will not occur at the same time as usage by the Sherwood Head Start, nor will the program commingle with any other programs.

LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. Cleaning supplies are securely stored and inaccessible to the children. LPA observed a fully charged 3A40BC fire extinguishers, and working smoke/carbon monoxide detectors and First Aid Kits. Lead Teacher states that the facility does not administer medications at this time.

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

No deficiencies cited, exit interview conducted with Preschool Coach, Crystal Burgos and Teacher Lorena Cardenas and a copy of this report was provided.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022

LIC809 (FAS) - (06/04)

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